title: Correction of the cleft nasal deformity: from infancy to maturity.
abstract: The cleft nasal deformity remains the most likely stigma of the cleft to remain plainly visible despite vigorous and repeated attempts at correction. This deformity is present at birth, but evolves over time. Certain aspects can be treated early, but some, such as the dorsal and septal deformity continue to develop as facial growth proceeds through adolescence. This article presents a conceptual mechanism and a philosophy of conservative reliable gains starting at the primary operation, with the long-term view of achieving definitive correction at maturity. Cogent planning of longitudinal care of the deformity from infancy leads to solid, predictable results.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Cleft Palate and Lip Program, Hospital for Sick Children, Suite 5425, 555 University Avenue, Toronto, ON M5G1X8, Canada; Duke Cleft and Craniofacial Center, Duke Children's Hospital, DUMC 3974, Durham, NC 27710, USA.
authors.forename: Mark D
authors.initials: MD
authors.lastname: Fisher
authors.affiliation: Division of Plastic and Reconstructive Surgery, Cleft Palate and Lip Program, Hospital for Sick Children, Suite 5425, 555 University Avenue, Toronto, ON M5G1X8, Canada.
authors.forename: David M
authors.initials: DM
authors.lastname: Fisher
authors.affiliation: Duke Cleft and Craniofacial Center, Duke Children's Hospital, DUMC 3974, Durham, NC 27710, USA. Electronic address: jeffrey.marcus@duke.edu.
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Marcus
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D006801:Humans; D007223:Infant; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*
keywords: Cleft lip and nasal repair; Cleft nasal deformity; Dorsal deformity; Septorhinoplasty