Primary repair of the bilateral cleft lip nose: a long-term follow-up.
BACKGROUND
The author previously published a method of primary repair of bilateral cleft lip nasal deformity using an open tip rhinoplasty to enable correction of the displaced and deformed alar cartilages.


METHODS
The first 10 consecutive children who had this treatment have been followed through to adulthood. They are now 18 to 19 years old, and the long-term results of this primary nasal repair are reviewed.


RESULTS
In general, the repair has been effective and stable. There has been no interference with growth. In most cases, the external nasal scars are barely noticeable.


CONCLUSIONS
In primary treatment of the bilateral cleft lip nose, an open tip rhinoplasty enables accurate replacement of the alar cartilages and correction of the deformity. It justifies the creation of an external scar that is usually unnoticeable.
McComb
Harold K
HK
Perth, Western Australia, Australia From Princess Margaret Hospital for Children.
D000293:Adolescent; D002971:Cleft Lip / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D055171:Nasal Cartilages / Q000002:abnormalities / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D012086:Reoperation; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome