Long-Term Effect of Primary Cleft Rhinoplasty on Secondary Cleft Rhinoplasty in Patients with Unilateral Cleft Lip–Cleft Palate

Haddock, Nicholas T.; McRae, Mark; Cutting, Court B.

doi:10.1097/prs.0b013e3182402e8e

Cited by 61 publications

(45 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…27 Proponents of primary cleft rhinoplasty suggest that primary treatment reduces the severity of the nasal deformity, reduces the number of revision surgeries required in adulthood, and may lessen psychosocial impact of deformity during development. [28][29][30] Historically, cleft surgeons were influenced by animal studies that suggested that rhinoplasty (before full skeletal maturity) could induce long-term nasal growth inhibition due to disruption of nasal growth centers. 31 There is a lack of rigorous evidence pertaining to this clinical question.…”

Section: Surgical Timing and Techniquesmentioning

confidence: 99%

Controversies in Cleft Rhinoplasty

2020

View full text Add to dashboard Cite

Rhinoplasty for cleft lip nasal deformities challenges all cleft surgeons. There is great variability of phenotypical anatomy, but iatrogenic changes and scarring from the previous surgeries add another layer of complexity. Rhinoplasties on a patient with cleft lip–palate are technically and intellectually challenging to master requiring a patient-tailored approach. The shape and structure of the nose are changed to improve both function and aesthetic appearance. In the primary setting, nasoalveolar molding is a form of presurgical infant orthopaedics used for preparation before the cleft lip and nose repair. Intermediate stages should be conservative to minimize scarring, while the definitive cleft rhinoplasty utilizes cartilage grafts from septum, ear, or rib to sculpt the nose. Hereinto, we will outline the controversies, the evidence supporting certain techniques, and our preferences.

show abstract

Section: Surgical Timing and Techniquesmentioning

confidence: 99%

Controversies in Cleft Rhinoplasty

2020

View full text Add to dashboard Cite

show abstract

“…86,87 The Tajima technique utilizes a reverse-U incision along the alar margin and redistributes the overhanging skin of the alar margin to augment deficient lining. 90 The potential risks of a primary rhinoplasty include iatrogenic deformity to the skin envelope and the introduction of scarring which may complicate subsequent interventions. 89 The goals of primary rhinoplasty include improving nasal contour, symmetry and nasal tip projection, with relocation of the caudal nasal septum.…”

Section: Primary Nasal Correctionmentioning

confidence: 99%

Cleft lip

and

Fisher

2015

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

“…10 A long term study made by Haddock et al concluded that primary nasal reconstruction performed with cleft lip repair makes the nasal tip more symmetric without affection of nose growth. 11 In relation to the growth of the nose, Anderl et al 12 concluded in their study a lack of growth retardation using primary rhinoplasty. This study confirms these observations and concluded that primary tip rhinoplasty did not significantly improve symmetry at 5 years and did not affect the growth of the nose.…”

mentioning

confidence: 97%