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Semin Plast Surg 2012; 26(04): 184-190
DOI: 10.1055/s-0033-1333886
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cleft Nasal Deformity and Rhinoplasty

Yoav Kaufman
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Edward P. Buchanan
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Erik M. Wolfswinkel
2   Baylor College of Medicine, Houston, Texas
,
William M. Weathers
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Samuel Stal
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
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Publication History

Publication Date:
13 February 2013 (online)

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Abstract

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.

Keywords

cleft nasal deformity - cleft nose - unilateral cleft nose - bilateral cleft nose - rhinoplasty
 

  • References

  • 1 Blair V, Brown JB. Nasal abnormalities, fancied and real surgery. Gynecol Obstet. 1931. 53. 797-819
    Google Scholar
  • 2 Rifley W, Thaller SR. The residual cleft lip nasal deformity. An anatomic approach. Clin Plast Surg 1996; 23 (1) 81-92
    PubMedGoogle Scholar
  • 3 Johnston MC, Millicovsky G. Normal and abnormal development of the lip and palate. Clin Plast Surg 1985; 12 (4) 521-532
    PubMedGoogle Scholar
  • 4 Fisher DM, Sommerlad BC. Cleft lip, cleft palate, and velopharyngeal insufficiency. Plast Reconstr Surg 2011; 128 (4) 342e-360e
    Google Scholar
  • 5 McComb H. Primary correction of unilateral cleft lip nasal deformity: a 10-year review. Plast Reconstr Surg 1985; 75 (6) 791-799
    CrossrefPubMedGoogle Scholar
  • 6 McComb H. Primary repair of unilateral cleft lip nasal deformity. Oper Tech Plast Reconstr Surg 1995; 2: 200-205
    CrossrefPubMedGoogle Scholar
  • 7 Wolfe SA. A pastiche for the cleft lip nose. Plast Reconstr Surg 2004; 114 (1) 1-9
    PubMedGoogle Scholar
  • 8 Li AQ, Sun YG, Wang GH, Zhong ZK, Cutting C. Anatomy of the nasal cartilages of the unilateral complete cleft lip nose. Plast Reconstr Surg 2002; 109 (6) 1835-1838
    CrossrefPubMedGoogle Scholar
  • 9 Byrd HS, El-Musa KA, Yazdani A. Definitive repair of the unilateral cleft lip nasal deformity. Plast Reconstr Surg 2007; 120 (5) 1348-1356
    PubMedGoogle Scholar
  • 10 Latham RA. The pathogenesis of the skeletal deformity associated with unilateral cleft lip and palate. Cleft Palate J 1969; 6: 404-414
    PubMedGoogle Scholar
  • 11 Fisher DM, Mann RJ. A model for the cleft lip nasal deformity. Plast Reconstr Surg 1998; 101 (6) 1448-1456
    CrossrefPubMedGoogle Scholar
  • 12 Penfold C, Dominguez-Gonzalez S. Bilateral cleft lip and nose repair. Br J Oral Maxillofac Surg 2011; 49 (3) 165-171
    CrossrefPubMedGoogle Scholar
  • 13 McComb HK, Coghlan BA. Primary repair of the unilateral cleft lip nose: completion of a longitudinal study. Cleft Palate Craniofac J 1996; 33 (1) 23-30 , discussion 30–31
    CrossrefPubMedGoogle Scholar
  • 14 Bernstein L. Early submucous resection of nasal septal cartilage. A pilot study in canine pups. Arch Otolaryngol 1973; 97 (3) 273-278
    CrossrefPubMedGoogle Scholar
  • 15 Morovic CG, Cutting C. Combining the Cutting and Mulliken methods for primary repair of the bilateral cleft lip nose. Plast Reconstr Surg 2005; 116 (6) 1613-1619 , discussion 1620–1622
    PubMedGoogle Scholar
  • 16 Sykes JM, Jang YJ. Cleft lip rhinoplasty. Facial Plast Surg Clin North Am 2009; 17 (1) 133-144 , vii
    CrossrefPubMedGoogle Scholar
  • 17 Salyer KE, Genecov ER, Genecov DG. Unilateral cleft lip-nose repair—long-term outcome. Clin Plast Surg 2004; 31 (2) 191-208
    CrossrefPubMedGoogle Scholar
  • 18 Haddock NT, McRae MH, Cutting CB. Long-term effect of primary cleft rhinoplasty on secondary cleft rhinoplasty in patients with unilateral cleft lip-cleft palate. Plast Reconstr Surg 2012; 129 (3) 740-748
    CrossrefPubMedGoogle Scholar
  • 19 Mulliken JB. Primary repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg 2001; 108 (1) 181-194 , 195–196
    PubMedGoogle Scholar
  • 20 Shih CW, Sykes JM. Correction of the cleft-lip nasal deformity. Facial Plast Surg 2002; 18 (4) 253-262
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Tajima S. Follow-up results of the unilateral primary cleft lip operation with special reference to primary nasal correction by the author's method. Facial Plast Surg 1990; 7 (2) 97-104
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Byrd HS, Salomon J. Primary correction of the unilateral cleft nasal deformity. Plast Reconstr Surg 2000; 106 (6) 1276-1286
    PubMedGoogle Scholar
  • 23 Kohout MP, Aljaro LM, Farkas LG, Mulliken JB. Photogrammetric comparison of two methods for synchronous repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg 1998; 102 (5) 1339-1349
    PubMedGoogle Scholar
  • 24 Mulliken JB, Burvin R, Farkas LG. Repair of bilateral complete cleft lip: intraoperative nasolabial anthropometry. Plast Reconstr Surg 2001; 107 (2) 307-314
    CrossrefPubMedGoogle Scholar
  • 25 Stal S, Brown RH, Higuera S , et al. Fifty years of the Millard rotation-advancement: looking back and moving forward. Plast Reconstr Surg 2009; 123 (4) 1364-1377
    PubMedGoogle Scholar
  • 26 Mulliken JB. Principles and techniques of bilateral complete cleft lip repair. Plast Reconstr Surg 1985; 75 (4) 477-487
    PubMedGoogle Scholar
  • 27 Cutting CB. Secondary cleft lip nasal reconstruction: state of the art. Cleft Palate Craniofac J 2000; 37 (6) 538-541
    CrossrefPubMedGoogle Scholar
  • 28 Kane AA, Pilgram TK, Moshiri M, Marsh JL. Long-term outcome of cleft lip nasal reconstruction in childhood. Plast Reconstr Surg 2000; 105 (5) 1600-1608
    CrossrefPubMedGoogle Scholar
  • 29 Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg 1972; 30 (2) 87-92
    PubMedGoogle Scholar
  • 30 Guyuron B, Ghavami A, Wishnek SM. Components of the short nostril. Plast Reconstr Surg 2005; 116 (5) 1517-1524
    CrossrefPubMedGoogle Scholar
  • 31 Guyuron B. MOC-PS(SM) CME article: late cleft lip nasal deformity. Plast Reconstr Surg 2008; 121 (4, Suppl) 1-11
    PubMedGoogle Scholar
  • 32 Madorsky SJ, Wang TD. Unilateral cleft rhinoplasty: a review. Otolaryngol Clin North Am 1999; 32 (4) 669-682
    CrossrefPubMedGoogle Scholar