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Cleft Rhinoplasty

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Global Cleft Care in Low-Resource Settings
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Abstract

The cleft nasal deformity associated with the primary cleft lip/nose for both unilateral and bilateral clefts represents a complex spectrum of deformity for the cleft reconstructive surgeon. The central location of the nose and lip makes them among the most notable facets of a person’s appearance. In addition, there is a considerable functional airway component to the nose and nasopharynx that evolves throughout childhood. The spectrum of the cleft nasal deformity involves all tissue layers of the nose including the mucosal lining, osseo-cartilaginous vault, and external skin. The purpose of this chapter is to (a) define the anatomical differences in the cleft nose, (b) introduce diagnostic maneuvers to assess nasal functional compromise, (c) discuss timing of surgical intervention, and (d) provide a framework for definitive rhinoplasty at the culmination of facial growth.

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References

  1. Henry C, Samson T, Mackay D. Evidence-based medicine: the cleft lip nasal deformity. Plast Reconstr Surg. 2014;133(5):1276–88.

    Article  CAS  Google Scholar 

  2. Zeraatkar M, Ajami S, Nadjmi N, Faghihi SA, Golkari A. A qualitative study of children’s quality of life in the context of living with cleft lip and palate. Pediatr Health Med Ther. 2019;10:13–20.

    Article  Google Scholar 

  3. Woodard CR, Park SS. Nasal and facial analysis. Clin Plast Surg. 2010;37(2):181–9.

    Article  Google Scholar 

  4. DeLuke DM, Marchand A, Robles EC, Fox P. Facial growth and the need for orthognathic surgery after cleft palate repair: literature review and report of 28 cases. J Oral Maxillofac Surg. 1997;55(7):694–7.

    Article  CAS  Google Scholar 

  5. Vasudavan S, Jayaratne YSN, Padwa BL. Nasolabial soft tissue changes after Le Fort I advancement. J Oral Maxillofac Surg. 2012;70(4):e277.

    Article  Google Scholar 

  6. Krimmel M, Schuck N, Bacher M, Reinert S. Facial surface changes after cleft alveolar bone grafting. J Oral Maxillofac Surg. 2011;69(1):80–3.

    Article  Google Scholar 

  7. Drake AF, Davis JU, Warren DW. Nasal airway size in cleft and noncleft children. Laryngoscope. 1993;103(8):915–7.

    Article  CAS  Google Scholar 

  8. Warren DW, Drake AF. Cleft nose. Form and function. Clin Plast Surg. 1993;20(4):769.

    Article  CAS  Google Scholar 

  9. Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130(2):157–63.

    Article  Google Scholar 

  10. Ortiz-Monasterio F, Olmedo A. Corrective rhinoplasty before puberty: a long-term follow-up. Plast Reconstr Surg. 1981;68(3):381.

    Article  CAS  Google Scholar 

  11. Mulliken J, Kim D. Repair of bilateral incomplete cleft lip: techniques and outcomes. Plast Reconstr Surg. 2013;132(4):923–32.

    Article  CAS  Google Scholar 

  12. Tajima S, Maruyama M. Reverse-u incision for secondary repair of cleft lip nose. Plast Reconstr Surg. 1977;60(2):256–61.

    Article  CAS  Google Scholar 

  13. Rohrich RJ, Hollier LH. Use of spreader grafts in the external approach to rhinoplasty. Clin Plast Surg. 1996;23(2):255.

    Article  CAS  Google Scholar 

  14. Baker SR. Diced cartilage augmentation: early experience with the Tasman technique. Arch Facial Plast Surg. 2012;14(6):451–5.

    Article  Google Scholar 

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Taylor, J.A., Yang, R. (2021). Cleft Rhinoplasty. In: Swanson, J.W. (eds) Global Cleft Care in Low-Resource Settings. Springer, Cham. https://doi.org/10.1007/978-3-030-59105-2_22

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  • DOI: https://doi.org/10.1007/978-3-030-59105-2_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-59104-5

  • Online ISBN: 978-3-030-59105-2

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