Challenging Rhinoplasty for the Cleft Lip and Palate Patient

Oral Maxillofac Surg Clin North Am. 2021 Feb;33(1):143-159. doi: 10.1016/j.coms.2020.09.012.

Abstract

Cleft lip and palate patients represent one of the most challenging groups of patients for septorhinoplasty, presenting as a complex surgical obstacle for even the most seasoned surgeons. These individuals have undergone several surgeries throughout their lives, resulting in a considerable amount of scar tissue, significant asymmetries and structural deficits. Key factors in successfully treating cleft lip and palate patients are the reconstruction of the absent/asymmetric cartilages and the replacement of bony structures. The use of autogenous rib cartilage allows the surgeon to create various grafts as well as fortify the soft tissue to resist persistent soft tissue deformities.

Keywords: Cleft rhinoplasty; Definitive rhinoplasty; Nasal revision; Unilateral/bilateral cleft rhinoplasty.

Publication types

  • Review

MeSH terms

  • Cleft Lip* / surgery
  • Cleft Palate* / surgery
  • Humans
  • Nose / surgery
  • Rhinoplasty*