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Secondary Cleft Lip Rhinoplasty

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State of the Art Rhinoplasty Techniques

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Abstract

Cleft lip patients have complex forms of nasal deformities. Correction of cleft lip nasal deformities is a formidable challenge for plastic surgeons. A secondary nasal deformity is a combined result of residual deformities after primary correction, growth-related changes, and scarring from previous procedures. Secondary rhinoplasty is categorized as an intermediate or definitive rhinoplasty. Intermediate rhinoplasty is usually performed before nasal growth completion between 4 and 6 years, and definitive rhinoplasty is performed after skeletal growth is completed. Numerous techniques for secondary cleft rhinoplasty have been described in the literature because patients’ deformities show great variability. Definitive rhinoplasty aims for nasal symmetry, creation of nasal tip definition, nasal obstruction relief, and nasal webbing management. The definitive rhinoplasty procedure for unilateral cleft nasal deformity involves septal repositioning with columella strut, lateral crura repositioning with chondromucosal advancement, mid-vault correction, and alar base repositioning. Definitive rhinoplasty also involves traditional rhinoplasty with standard esthetic techniques. In this chapter, the pathophysiology of cleft lip nasal deformity is discussed, and the currently used procedure of definitive rhinoplasty is described.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea

    Hojin Park & Kyung S. Koh

Authors
  1. Hojin Park
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  2. Kyung S. Koh
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Correspondence to Kyung S. Koh .

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Editors and Affiliations

  1. JW Plastic Surgery Center, Seoul, Korea (Republic of)

    Man Koon SUH

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Park, H., Koh, K.S. (2022). Secondary Cleft Lip Rhinoplasty. In: SUH, M.K. (eds) State of the Art Rhinoplasty Techniques. Springer, Singapore. https://doi.org/10.1007/978-981-16-5241-7_15

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  • DOI: https://doi.org/10.1007/978-981-16-5241-7_15

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-5240-0

  • Online ISBN: 978-981-16-5241-7

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