Secondary Nasal Deformity Research Articles

Open rhinoplasty for correction of the secondary nasal deformity due to the Marcks triangular flap cleft lip repair

Open rhinoplasty for correction of the secondary nasal deformity due to the Marcks triangular flap cleft lip repair

Secondary rhinoplasty: reconstitution of the allar cartilage by a rhinoplasty with an external incision.

Presentation of 62 cases of secondary nasal deformities treated by external incision. Several types of endonasal deformities were observed, properly classified and repaired. When excessive resection was observed, local cartilage graft, septonasal or conchal types were employed.

Correction Of Secondary Cleft Lip And Nasal Deformities

Surgical techniques for the correction of commonly seen secondary cleft deformities of the lip and nose are reviewed. These techniques include revision of the vermilion, vermilion--cutaneous junction, philtrum, nasal base, and nasal tip. Timing of intervention and coordination with other orofacial therapies are emphasized.

Crushed cartilage grafts over alar dome reduction in open rhinoplasty.

Primary and secondary nasal tip deformities can be repaired more easily with an open technique rather than with the traditional closed methods that have been used for the over-projecting tip. Division of the alar domes with a side-to-side repair followed by the onlay of a single crushed cartilage graft to prevent postoperative cartilaginous deformities has been shown to be a reliable maneuver in both primary and secondary rhinoplasties.

Surgery of the cleft lip nasal deformity

Surgery of the cleft lip nasal deformity presents a challenging problem for the facial plastic and reconstructive surgeon. The nasal deformity involves abnormalities in all layers, including skin, cartilage, vestibular lining, and skeletal platform. If not repaired, these deformities tend to accentuate as nasal growth continues. In the past, primary cleft lip repairs have not focused on aesthetic improvement of the nose. Primary tip rhinoplasty, with early repositioning of the nasal tip cartilages, can result in a less severe secondary nasal deformity. Secondary, or definitive, nasal reconstruction is best performed through an open rhinoplasty approach, which allows better diagnosis and treatment of cleft nasal deformities. The open approach also has the advantage of accurate placement of cartilaginous grafts that provide both structure and support. This article outlines the deformities associated with unilateral and bilateral cleft lips and outlines a treatment plan for these deformities including both primary and secondary repair. Surgery of the cleft lip nasal deformity presents a challenging problem for the facial plastic and reconstructive surgeon. The nasal deformity involves abnormalities in all layers, including skin, cartilage, vestibular lining, and skeletal platform. If not repaired, these deformities tend to accentuate as nasal growth continues. In the past, primary cleft lip repairs have not focused on aesthetic improvement of the nose. Primary tip rhinoplasty, with early repositioning of the nasal tip cartilages, can result in a less severe secondary nasal deformity. Secondary, or definitive, nasal reconstruction is best performed through an open rhinoplasty approach, which allows better diagnosis and treatment of cleft nasal deformities. The open approach also has the advantage of accurate placement of cartilaginous grafts that provide both structure and support. This article outlines the deformities associated with unilateral and bilateral cleft lips and outlines a treatment plan for these deformities including both primary and secondary repair.

A Comparative Study of the Skin Envelope of the Unilateral Cleft Lip Nose Subsequent to Rotation-Advancement and Triangular Flap Lip Repairs

The secondary nasal skin envelope asymmetries were studied after unilateral cleft lip repair using the original (obsolete) rotation-advancement (Millard I) and the triangular flap techniques (Bardach's modification). Secondary correction of the nasal deformity was not performed in either group. Our findings indicated that in both groups, vertical asymmetries of the nasal skin envelope were similar. The alar dome on the cleft side was depressed, the columella was shorter on the cleft side, and there was hooding at the nostril apex. The principal difference between the two lip repairs was observed in the horizontal dimension of the nasal skin envelope. The position of the alar base was more normal following the Millard I repair, while the triangular flap repair left the alar base laterally displaced. When considered together with flattening of the cleft alar dome, a horizontal skin-envelope deficiency from middome to lateral alar crease was produced in the Millard I group. More lateral positioning of the alar base after the triangular flap technique minimized this horizontal skin deficiency. The triangular flap technique produced a secondary nasal deformity that looked worse but was easier to correct. The clinical implications of these findings are discussed.

Treatment of secondary cleft lip and nasal deformity

Treatment of secondary cleft lip and nasal deformity

Secondary rhinoplasty.

The correction of secondary nasal deformities produced by excessive resection poses difficult problems for the surgeon. We describe our technique using cartilage autografts. Shaping the cartilage carefully, using Rethi's incision, and immobilization of the grafts have yielded excellent results in our patients.

Ear Cartilage Grafts to the Nose

We present our experience in the treatment of secondary nasal deformities caused by excessive resection of the nasal dorsum. We have used ear cartilage autografts, with good results and (on the whole) little or no resorption (some have been followed for 10 years). We consider it essential to correctly shape the transplant and to hold it firmly in the proper position for a period of not less than one week.

Secondary nasal deformities following correction of cleft lip

Secondary nasal deformities following correction of cleft lip