Cleft Lip Nose Surgery

Abstract

On the basis of over 3,600 cases the surgical repair of primary and secondary nose deformities in cleft patients is discussed. The value of the modified Millard method in the management of unilateral nose deformities and the author's own approach to primary columella elongation in bilateral cleft are presented. The various methods of secondary rhinoplasties in typical and rare clefts are also discussed on the basis of numerous examples.

Patient evaluation of outcomes of external rhinoplasty for unilateral cleft lip and palate

“…However, most authors acknowledge the need for surgical revision at a later point in life, regardless of the technique used in primary repair 4,13,18,26 . MULLIKEN and MAR-TINEZ-PEREZ 18 reported their 15-year experience using the Millard rotationadvancement principle for repair of unilateral complete cleft lip with nasal deformity.…”

Long-term Observations and Own Concepts in Cleft Lip and Palate Repair

“…As the patients appearance depends on numerous factors, such as primary or delayed nose repair, alveolar bone grafts or secondary lip and nose corrections [23][24][25] no precise measurements were taken, but according to subjective evaluation the outcomes were regarded as satisfactory.…”

“…Apart from morphology and quality of primary operation, adult patients appearance was significantly dependant on underwent nose corrections performed at the age of 16-18 [23]. The nasal deformities resulted often from EVF method imperfection related to vomer denudation, which produced septum deviation and consequently -increased demand for rhinoplasty (Figure 2).…”