Abstract
INTRODUCTION Cleft lip deformity is a complex 3-dimensional congenital facial deformity which leads to poor functional, aesthetic and social outcomes. METHODOLOGY In order to optimize the aesthetic symmetry of unilateral cleft lip nasal deformity correction, we propose an anatomic technique involving reconstruction and restoration of the cleft side alone and to fashion it akin to the normal side in teh form of a case series. SURGICAL TECHNIQUE 1. All the cases were operated by the open Rhinoplasty approach, using the standard stair step trans-columellar and infracartilaginous incision. In unilateral cleft lip nose deformity, the whole lateral wall of nose including the nasal bone, the upper lateral cartilages and the lower lateral cartilages of the cleft side appears to be imbalanced with respect to the normal side. RESULT Based on the Rhinoplasty Out come Evaluation (ROE) questionnaire, all patients experienced improved appearance of the nose and felt less stigmatization from the society Keywords: Cleft lip deformity, Rhinoplasty, open Rhinoplasty
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