Surgical Refinements in Correction of Unilateral Secondary Cleft Lip and Nose Deformity

ABSTRACT

PURPOSE: Secondary correction of unilateral cleft lip and nose deformity is necessary in number of patients despite advanced techniques and overall treatment philosophy. Various techniques and modifications have been reported by many centers. But the definite procedure for secondary unilateral cleft lip nasal deformity is the question under debate. METHODS: Secondary cleft lip and nosede formity has its own anatomical abnormalities, including incomplete release of nasal lining, incomplete alar cinching, and progressive septal deviation. In order to correct these anatomical abnormalities, we have performed the procedures of complete release of congenital cicatricial contracture of nasal lining, extended cinching of alar, suspension of orbicularis oris muscle, and anteriorly limited open rhinoplasty. RESULTS: Between June of 2001 and Feb of 2006, 45 patients with secondary cleft lip and nose deformity underwent correction according to our procedures. During 36 month period of follow up, there were no significant complications. Esthetic and functional improvement was identified. CONCLUSION: Consequently, total mobilization of all the displaced anatomical structures and placing them in a normal position are the basic and essential in correction of secondary cleft lip and nose deformity