scholarly journals An Ultimate Method for Cleft Nasal Deformity Correction at Primary Lip Surgery: Innovative Concepts and Review

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Abdulrauf Badr MI
Keyword(s):  
Deformity Correction ◽  
Nasal Deformity ◽  
Cleft Nasal Deformity

Secondary Cleft Nasal Deformity Correction Using Bioabsorbable Mesh

2016 ◽  
Vol 27 (5) ◽  
pp. 1143-1146 ◽  
Author(s):  
Jeenam Kim ◽  
Junyeong Kim ◽  
Ki-il Uhm ◽  
Donghyeok Shin ◽  
Soonheum Kim ◽  
...  
Keyword(s):  
Deformity Correction ◽  
Nasal Deformity ◽  
Cleft Nasal Deformity

Clincal Study on Surgical Correction of Cleft Nasal Deformity

2018 ◽  
Vol 21 (1) ◽  
pp. 1-7
Author(s):  
Young-Kee Lee ◽  
◽  
Young-Wook Park ◽  
Keyword(s):  
Surgical Correction ◽  
Nasal Deformity ◽  
Cleft Nasal Deformity

scholarly journals The nasal cantilever technique in children undergoing primary cleft lip surgery: novel concepts and review

2020 ◽  
Vol 5 (1-2) ◽  
pp. 53-62
Author(s):  
Badr M. I. Abdulrauf
Keyword(s):  
Learning Curve ◽  
Cleft Lip ◽  
Nasal Bone ◽  
Case Series ◽  
Nasal Deformity ◽  
Challenging Issue ◽  
Primary Surgery ◽  
Novel Concept ◽  
Cleft Nasal Deformity

AbstractBackgroundNasal deformity associated with cleft lip deformity is a challenging issue, encompassing controversies, theories, and a diversity of techniques. Historically, esthetic outcomes have ranged from being below expectations to barely acceptable.MethodBased on the concept that the nasal cartilaginous framework in clefts is similar to that of a collapsing pyramid, a novel suspension technique has been described. The entire cartilaginous structure is lifted from the infratip segment with a loop suture and is secured in a cantilever fashion onto the periosteum overlying the nasal bone. This part of the operation is performed in a semiclosed manner. The technique is applied during primary surgery in bilateral and unilateral nasal cleft lip deformities, with changes in the orientation of the cantilever loop suture. Studies conducted by Masters S. Tajima, H. McComb, H. Thomson, D. Fisher, and J. Mulliken, which are most relevant to this article, have been reviewed and discussed throughout.ResultsThe technique was first applied over 10 years ago. A case series of nine children whose parents consented to the developing technique is presented with follow-up ranging from months to years, along with technical descriptions and illustrative drawings. None of these cases had preoperative orthopedic correction, molding, or postoperative nostril splints. The esthetic outcome was optimal enough; none of the cases requested a secondary correction.ConclusionThe nasal cantilever technique is a novel concept in cleft nasal deformity, which can be used in conjunction with an appropriate lip technique, per the surgeon’s discretion. Other than a learning curve, we believe that it provides a solid correction by securing the cartilaginous structures after they have been mobilized to a stable base, the nasion.

A Comparative Study of the Medial Crura of Alar Cartilages in Unilateral Secondary Cleft Nasal Deformity

2008 ◽  
Vol 61 (4) ◽  
pp. 404-409 ◽  
Author(s):  
Young Seok Kim ◽  
Hyun Woo Cho ◽  
Be-Young Yun Park ◽  
Murod Jafarov
Keyword(s):  
Comparative Study ◽  
Nasal Deformity ◽  
Medial Crura ◽  
Cleft Nasal Deformity

Cleft Rhinoplasty: Strategies for the Multiply Operated Nose

2018 ◽  
Vol 34 (03) ◽  
pp. 290-297
Author(s):  
Tsung-yen Hsieh ◽  
Raj Dedhia ◽  
Travis Tollefson
Keyword(s):  
Surgical Procedure ◽  
Lateral Cartilage ◽  
Lower Lateral Cartilage ◽  
Nasal Deformity ◽  
Internal Lining ◽  
Cleft Rhinoplasty ◽  
Cartilage Grafting ◽  
Definition Of ◽  
Cleft Nasal Deformity ◽  
Maxillary Deficiency

AbstractRhinoplasty, as a surgical procedure to improve the appearance of the nose while preserving or improving function, is complicated and difficult to master. Revision cleft rhinoplasty offers another tier of challenge. The symmetry, proportions, and definition of the nose are affected by the native cleft deformity but also previous surgical scars, cartilage grafts, and skin excisions. Our preferred approach is to use structural cartilage grafting to establish septal and lower lateral cartilage resiliency. Internal lining deficiency is addressed with skin or lining transfer, while excess nasal tip thickness is contoured to improve definition. Of the utmost importance, the cleft nasal deformity cannot be considered in isolation, but rather a combined amalgamation of the lip muscle and scar, dentofacial occlusion, and skeletal maxillary deficiency.

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