Abstract
The correction of cleft lip nasal deformity is challenging and there have been numerous methods described in the literature with little demonstrated technical superiority of one over another. The common clinical issues associated with cleft lip nasal deformity are its lack of symmetry, alar collapse on the affected side, obtuse nasal labial angle, short nasal length, loss of tip definition, and altered columella show among others. We carried out augmentation of cleft lip rhinoplasties with rib graft in 16 patients over the one-year study period. Each of these patients was reviewed and given questionnaire before and after surgery to evaluate their response on the outcome to the approach. Preoperatively, nasal asymmetry is the main complaint (14/16, 87.5%) among our series of patients. Postoperatively, 12 (75%) patients out of the 16 reported significant improvement in their nasal symmetry with the other four marginal. All patients reported excellent nasal projection postoperatively with good nasal tip definition. Our series of patients reported overall good satisfaction outcome and will recommend this procedure to other patients with cleft lip nasal deformity. In conclusion, augmentation of cleft lip rhinoplasty can be employed to achieve perceivable and satisfactory outcome in patients with cleft lip nasal deformity.
Highlights
The nose is one of the most visible organs on the face and its appearance contributes enormously to facial aesthetics [1]
The complexity of cleft lip rhinoplasty is demonstrated by the abundance of technique that is available for its correction [2]
The common clinical features associated with cleft lip nasal deformity are its lack of symmetry, alar collapse on the affected side, short nasal length, loss of tip definition, obtuse nasal labial angle, and altered columella show among others [3]
Summary
The nose is one of the most visible organs on the face and its appearance contributes enormously to facial aesthetics [1]. Nasal deformity associated with cleft lip has been viewed as one of the most challenging reconstructive problems in rhinoplasty. The complexity of cleft lip rhinoplasty is demonstrated by the abundance of technique that is available for its correction [2]. The common clinical features associated with cleft lip nasal deformity are its lack of symmetry, alar collapse on the affected side, short nasal length, loss of tip definition, obtuse nasal labial angle, and altered columella show among others [3]. Despite the numerous above features, the typical nose of cleft lip nasal deformity can be summarized as having an asymmetrical, flat dorsum, broad tip, and wide alar base on the cleft side [4, 5]. The horizontally oriented wide nostril on the cleft side is one of the major stigmas of the cleft lipassociated nasal deformity [6]
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