ABSTRACT
Correction of the cleft-lip nasal deformity is a difficult task that requires a clear
understanding of the associated complex anatomic abnormalities. These deformities
tend to accentuate as nasal growth continues. Primary tip rhinoplasty in the unilateral
deformity improves nasal tip symmetry and decreases the need for intermediate surgery.
Intermediate rhinoplasty in the bilateral deformity is performed when nasal tip projection
is markedly diminished. In both the unilateral and bilateral deformity, definitive
rhinoplasty utilizing the open-structure rhinoplasty approach allows maximum exposure
for placement of structural grafts to improve tip projection, definition, support,
and function. In this article, the pathologic anatomy of the unilateral and bilateral
cleft nasal deformity is described. The philosophy and timing of repair are discussed.
Finally, the techniques used by the authors to address both the aesthetic and functional
problems are outlined.
KEYWORD
Cleft-lip nasal deformity - congenital nasal deformity - cleft-lip rhinoplasty
