Science Journal of Clinical Medicine
Volume 5, Issue 4-1, July 2016, Pages: 20-26
Received: Jan. 13, 2016;
Accepted: Feb. 16, 2016;
Published: Apr. 16, 2016
Views 3698 Downloads 78
Ashok Jonnalagadda, Drs. Sudha & Nageswera Rao Siddhartha Institute of Dental Sciences, Gannavaram, Andhra Pradesh
Sreeja Jami, Drs. Sudha & Nageswera Rao Siddhartha Institute of Dental Sciences, Gannavaram, Andhra Pradesh
Kusuma latha Pydi, Drs. Sudha & Nageswera Rao Siddhartha Institute of Dental Sciences, Gannavaram, Andhra Pradesh
Cleft lip nasal deformity presents an extreme challenge to the facial plastic surgeon. The deformity is complex and involves all tissue layers, including skeletal platform, inner lining, osseocartilaginous structure, and overlying skin. 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. Secondary repair of the cleft lip nasal defect requires an understanding of the pathological nasal anatomy associated with congenital clefting. The basic cleft nasal deformity is characteristic and defendant upon the original extent of clefting of the lip. However, the secondary nasal defect varies greatly and is a result of: 1) the original malformation, 2) any interim surgery performed, and 3) growth of the nose and face. The cleft surgeon must therefore have a treatment philosophy and technique flexible enough to reconstruct a variable range of associated nasal problems. By reviewing the literature, this article described and summerised the various modalities for achieving a successful rhinoplasty in the patient with a cleft nasal deformity.
Kusuma latha Pydi,
Cleft Lip Rhinoplasty - A Review, Science Journal of Clinical Medicine. Special Issue:Clinical Conspectus on Cleft Deformities.
Vol. 5, No. 4-1,
2016, pp. 20-26.
Kaufman Y. Cleft Nasal Deformity and Rhinoplasty. Sem inPlas tSurg 2012; 26: 184–190.
Rifley W, Thaller SR. The Residual cleft lip nasal deformity. Ananatomic approach. ClinPlastSurg 1996; 23(1): 81–92.
Jonathan Sykes JM. Cleft Lip Rhinoplasty. PlastReconstrSurg 2011.
Fisher DM, Sommerlad BC. Cleft lip, cleft palate, and velopharyngeal insufficiency. Plast Reconstr Surg 2011; 128(4): 342e–360e.
McComb H. Primary correction of unilateral cleft lip nasal deformity: a 10-year review. Plast Reconstr Surg 1985; 75(6): 791–799.
McComb H. Primary repair of unilateral cleft lip nasal deformity. Oper Tech Plast Reconstr Surg 1995; 2: 200–205.
Wolfe SA. A pastiche for the cleft lip nose. Plast Reconstr Surg2004; 114(1): 1–9.
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.
Byrd HS, El-Musa KA, Yazdani A. Definitive repair of the unilateral cleft lip nasal deformity. Plast Reconstr Surg 2007; 120(5): 1348–1356.
Latham RA. The pathogenesis of the skeletal deformity associated with unilateral cleft lip and palate. Cleft Palate J 1969; 6: 404–414.
Fisher DM, Mann RJ. Amodel for the cleft lip nasal deformity. Plast Reconstr Surg 1998; 101(6): 1448–1456.
Penfold C, Dominguez-Gonzalez S. Bilateral cleft lip and nose repair. Br J Oral Maxillofac Surg 2011; 49(3): 165–171.
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.
Bernstein L. Early submucous resection of nasal septal cartilage. A pilot study in canine pups. Arch Otolaryngol 1973; 97(3): 273–278.
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.
Sykes JM, Jang YJ. Cleft lip rhinoplasty. Facial Plast Surg Clin North Am 2009; 17(1): 133–144.
Salyer KE, Genecov ER, Genecov DG. Unilateral cleft lip-nose repair—long-term outcome. Clin Plast Surg 2004; 31(2): 191–208.
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.
Mulliken JB. Primary repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg 2001; 108(1): 181–194, 195–196.
Shih CW, Sykes JM. Correction of the cleft-lip nasal deformity. Facial Plast Surg 2002; 18(4): 253–262.
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.
Byrd HS, Salomon J. Primary correction of the unilateral cleft nasal deformity. Plast Reconstr Surg 2000; 106(6): 1276–1286.
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.
Mulliken JB, Burvin R, Farkas LG. Repair of bilateral complete cleft lip: intraoperative nasolabial anthropometry. PlastReconstrSurg2001; 107(2): 307–314.
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.
Mulliken JB. Principles and techniques of bilateral complete cleft lip repair. Plast Reconstr Surg 1985; 75(4): 477–487.
Cutting CB. Secondary cleft lip nasal reconstruction: state of theart. Cleft Palate Craniofac J 2000; 37(6): 538–541.
Kane AA, Pilgram TK, Moshiri M, Marsh JL. Long-term outcome of cleft lip nasal reconstruction in childhood. PlastReconstrSurg2000; 105(5): 1600–1608.
Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg 1972; 30(2): 87–92.
Guyuron B, Ghavami A, Wishnek SM. Components of theshort nostril. Plast Reconstr Surg 2005; 116(5): 1517–1524.
Guyuron B. MOC-PS(SM) CME article: late cleft lip nasal deformity. Plast Reconstr Surg 2008; 121(4, Suppl): 1–11.
Madorsky SJ, Wang TD. Unilateral cleft rhinoplasty: a review. Otolaryngo lClin North Am 1999; 32(4): 669–682.