The Septospinal Ligament in Cleft Lip Nose Deformity: Study in Adult Unilateral Clefts

Abstract

A well-defined ligament has been documented and demonstrated in adult patients with unilateral cleft lip nose deformity. The authors recommend that this septospinal ligament, previously unreported, should be excised in toto to achieve straightening of the septum, columellar centralization, and nasal sill symmetry in unilateral cleft lip nose deformity.

Primary Correction of Nasal Septal Deformity in Unilateral Clefts during Lip Repair—A Long-Term Study

“…Moreover, replacement of the septum can be achieved only if the very tight mucosa is freed from the cartilage on both sides. Otherwise, the septum will always swing back to its original position (Agarwal and Chandra, 2007).…”

“…These features are major stigmata of an adult unilateral cleft lip nose deformity. Computed tomography performed in selected adult cases revealed appreciable deviation of the free caudal border of the septal cartilage (Agarwal and Chandra, 2007; Li et al, 2002). In cases of deviated nasal septum, its further abnormal development causes malformation of the external nose.…”

Addressing the Soft Tissue Element in Unilateral Cleft Lip Nasal Deformity

“…As regard, the preoperative alar width length it was (10.6±2.4cm) in group A and (12.1±1.8cm) in group B with no statistically significant difference between both groups (Pvalue >0.05). The effect of both procedures on alar width length was followed up and shown in table( 3 ).…”