Unilateral cleft lip anatomy combined with nasal deformities for clinical application in rhinoplasty at Cho Ray Hospital

Abstract

Nasal deformity in unilateral cleft lip patients has many different clinical forms, causing severe disproportion on both sides of the nose. The treatment of rhinoplasty in these cases is very complex and always a challenge for the surgeon. This study aims to investigate the characteristics of nasal deformities in unilateral cleft lip patients, thereby helping clinical surgeons better prepare for rhinoplasty in these patients. A retrospective method describes a series of cases performed on 89 unilateral cleft lip patients who had lip surgery but still deformed the nose and came for examination and treatment at the Department of Plastic Surgery, Cho Ray Hospital, from December 2013 until October 2022. The study results showed that, 64/89 patients were female (71.9%), only 25 male patients (28.1%), the lowest age was 16 and the highest was 64 years old. 44 patients had a lateral cleft lip on the left side (49.44%) and 45 patients on the right side (50.56%), 100% of the patients had features of nasal deformities: the nasal tip is horizontal, lower and longer than the normal side, nasal base defect, deviated nasal columella, deviated nasal tip, and the nostrils are wide and flat.