Cleft Septorhinoplasty: Form and Function.
Nasal deformity associated with typical cleft lip can cause aesthetic and functional issues that are difficult to address. The degree of secondary nasal deformity is based on the extent of the original cleft deformity, growth over time, and any prior surgical correction to the nose or lip. Repair and reconstruction of these deformities require comprehensive understanding of embryologic growth, the cleft anatomy, as well as meticulous surgical technique and using a spectrum of structural grafting. This article reviews cleft lip nasal deformity, presurgical care, primary cleft rhinoplasty, and definitive cleft septorhinoplasty with a focus on aesthetics and function.
Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA.
Tsung-Yen
TY
Hsieh
Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA.
Raj
R
Dedhia
Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA.
Drew
D
Del Toro
Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA. Electronic address: tttollefson@ucdavis.edu.
Travis T
TT
Tollefson
D000328:Adult; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008488:Medical Illustration; D008953:Models, Anatomic; D009300:Nasal Septum / Q000601:surgery*; D009666:Nose / Q000002:abnormalities*; D010781:Photography; D011300:Preoperative Care; D012225:Rhinoplasty / Q000379:methods*
Cleft lip nasal deformity; Cleft lip rhinoplasty; Nasoalveolar molding; Presurgical infant orthopedics; Primary cleft lip rhinoplasty; Secondary revision rhinoplasty