Unilateral Cleft Rhinoplasty

Madorsky, Simon J.; Wang, Tom D.

doi:10.1016/s0030-6665(05)70163-8

Cited by 29 publications

(11 citation statements)

References 30 publications

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“…The next step is to correct the bone deficiency of the maxilla and premaxilla and restore the abnormal posterior-anterior position of the alar base. 3 Although the timing of alveolar bone grafting is controversial, it is most commonly performed between the ages of 7 and 11, when one-fourth to three-fourths of the adult canine root is formed and should be considered an intermediate rhinoplasty procedure. 33 Further, augmentation of the nasal sill and base may be required at the time of the definitive rhinoplasty and can usually be accomplished with local tissue flaps.…”

Section: Techniques For the Repair Of Cleft Lip Nasal Deformity Nasalmentioning

confidence: 99%

69 Cleft Lip Rhinoplasty

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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Section: Techniques For the Repair Of Cleft Lip Nasal Deformity Nasalmentioning

confidence: 99%

69 Cleft Lip Rhinoplasty

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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“…16 Redundant skin may be used to line a stenotic nasal vestibule. 32 A laterally or medially based sliding chondrocutaneous flap, harvested using the previous cleft lip scar, can be critical for lining vestibular deficits due to its healthy blood supply. 32 If there is significant constriction of the nostril and loss of tissue along the nostril sill, the nasal alae should be repositioned.…”

Section: Nasal Vestibulementioning

confidence: 99%

“…32 A laterally or medially based sliding chondrocutaneous flap, harvested using the previous cleft lip scar, can be critical for lining vestibular deficits due to its healthy blood supply. 32 If there is significant constriction of the nostril and loss of tissue along the nostril sill, the nasal alae should be repositioned. Micronostril is a very difficult problem to correct, and the creation of this deformity during primary repair should be recognized and avoided at all costs.…”

Section: Nasal Vestibulementioning

confidence: 99%

Cleft Nasal Deformity and Rhinoplasty

Kaufman

Buchanan

Wolfswinkel

et al. 2013

Seminars in Plastic Surgery

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The cleft nasal deformity is a complex challenge in plastic surgery involving the skin, cartilage, mucosa, and skeletal platform. Ever since Blair and Brown first described the intricacies of the cleft pathology in 1931, the appropriate approach has been extensively debated in the literature with respect to timing, technique, and extent of surgical intervention. In this article, the authors review the literature and summarize the various modalities for achieving a successful rhinoplasty in the patient with a cleft nasal deformity.

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“…The angle between the medial and lateral crura is more obtuse than normal, and the dome is retrodisplaced. 8 The cephalic border of the lateral crus is rotated posteroinferiorly, causing the nostril to hood and buckle on itself, producing an S-shaped fold on the lateral crus.…”

Section: Anatomy Of the Unilateral Cleft Lip And Nosementioning

confidence: 99%

Repair of the Unilateral Cleft Lip/Nose Deformity

Clark¹,

Skoner²,

Wang³

2003

Facial Plast Surg

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Successful surgical repair of the unilateral cleft lip and nose deformity, defined as normal orbicularis oris function and near-perfect symmetry of the repaired lip and nose, demands that the surgeon possess complete understanding of the embryology and anatomy of the midfacial defects. The surgical approach to repair of the unilateral cleft lip/nose should place great emphasis on achieving symmetry, not only with the lip segments but also perhaps even more importantly with the nasal tip. The reconstruction should recreate an intact fully functional orbicularis oris muscle across the cleft and camouflage the scar optimally. We have found that modification of the Millard rotation-advancement flap technique, with particular attention to the primary nasal repair, provides the best outcomes. In patients who have undergone primary repair of the lip and/or nose deformity, secondary rhinoplasty is generally required, regardless of the technique used at the primary repair. The degree of nasal deformity, however, is less severe following primary repair of the asymmetric nasal tip. We have found that the sliding flap cheliorhinoplasty, Wang's modification of the Vissarionov technique, provides excellent results for most secondary cleft rhinoplasties.

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Unilateral Cleft Rhinoplasty

Cited by 29 publications

References 30 publications

69 Cleft Lip Rhinoplasty

69 Cleft Lip Rhinoplasty

Cleft Nasal Deformity and Rhinoplasty

Repair of the Unilateral Cleft Lip/Nose Deformity

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