ABSTRACT
For both unilateral and bilateral cleft lip nasal deformity, the general trend has been toward operation on the cleft lip nose at the time of initial lip surgery. Secondary surgery to further modify the nasal shape is often necessary and many patients desire complete septorhinoplasty in their teen years. The purpose of the study was to evaluate the results of the methods to correct secondary cleft lip nose deformity. This study carried out on 22 patients; [five females and 17 males] with secondary cleft lip nose deformities, their ages ranged from five to 34 years with mean 17.6 years. All of them were admitted to our department at Al-Azher University Hospital, Damietta. There is nasal symmetry with improved nasolabial and nasofacial relationship, improve speech, and airway passage in 17 patients