Three Dimensional Rhinoplasty and Nasal Airway Improvement in Cleft-Nose Deformity

  • John Oommen
  • Hafiz Muhammed Koyappathody
  • Kader Kalathingal
  • Chandrabose Vellani Thamunni
  • Subin JosephEmail author
  • Srivatsa M. Shet
  • Rajesh Vardhan Pydi
  • Anand Sivadasan
  • Santhy Mohanachandran Nair
  • Srikant Aruna Samantaray
  • R. S. Nithin
  • Joe Antony
Original Article


Septorhinoplasty is particularly challenging among revision surgeries for cleft sequelae. The challenge of cleft septorhinoplasty is mainly due to the complex anatomy of nose, deformity of each of its components and the difficulty and lack of clarity in surgical management. From 2014 to 2017, 26 patients with cleft lip nose deformity were operated by the same cleft team. The study was conducted to assess the improvement in nasal airway and appearance following secondary rhinoplasty with extracorporeal septoplasty. Post operatively each patient was evaluated using the standard modified rhinoplasty outcome evaluation questionnaire, a validated instrument that aids in stratifying patients according to their subjective response. All patients reported great relief of nasal obstruction and improved breathing. More than 80% of our patients were satisfied with improved aesthetics and reported better self-confidence. Secondary cleft rhinoplasty with extracorporeal septoplasty surgery significantly improves the cosmesis and nasal airway opening, subsequently giving them improved self-confidence.


Congenital cleft deformity Cleft rhinoplasty Extracorporeal septoplasty Functional nasal airway Rhinoplasty outcome evaluation 



Authors would like to thank Dr. Aarathi Krishnan for statistical guidance.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest and there was no funding or grants involved.

Informed Consent

Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.


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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryBaby Memorial HospitalKozhikodeIndia

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