Revision of the cleft lip nose

Patrick Angelos, Tom Wang

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Secondary or revision rhinoplasty for the cleft nasal deformity represents one of the most challenging problems in rhinoplasty surgery. The secondary nasal deformity of the unilateral cleft lip involves a retrodisplaced dome of the ipsilateral nasal tip, hooding of the alar rim, a secondary alar-columellar web, and other deficiencies. This article discusses techniques to achieve the best possible outcome for patients with cleft nasal deformities. We emphasize the importance of early intervention by way of primary cleft rhinoplasty and highlight the typical challenges presented in delayed (secondary) or revision cleft rhinoplasty. We describe how the sliding flap cheilorhinoplasty effectively corrects these deformities using a laterally based chondrocutaneous flap via an open rhinoplasty approach. Columellar struts and shield grafts are some of the techniques combined with this approach to produce optimal results.

Original languageEnglish (US)
Pages (from-to)447-453
Number of pages7
JournalFacial Plastic Surgery
Volume28
Issue number4
DOIs
StatePublished - Aug 10 2012

Keywords

  • cleft
  • revision
  • rhinoplasty

ASJC Scopus subject areas

  • Surgery

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