Rhinoplasty for Patients with Cleft Lip-Palate: Functional and Aesthetic Concerns

Otolaryngol Clin North Am. 2025 Apr;58(2):361-377. doi: 10.1016/j.otc.2024.07.017. Epub 2024 Sep 6.

Abstract

Cleft lip and palate, the most common congenital orofacial anomalies, result in complex nasal deformities due to deficient bony maxilla, dentoalveolar arch, teeth, and soft tissues. This article explores nasal deformities in patients with cleft lip and palate, surgical techniques and considerations in cleft rhinoplasty, particularly focusing on nasal valves in both unilateral and bilateral cases. Unilateral cleft lip deformities include asymmetry of the nasal tip, flattened nostril, and displaced caudal septum, while bilateral cleft lip deformities present a wider and flatter nose with complex nasal features.

Keywords: Cleft lip; Cleft palate; Cleft rhinoplasty; Nasal deformities; Nasal valves; Septal deviation; Surgical techniques.

Publication types

  • Review

MeSH terms

  • Cleft Lip* / surgery
  • Cleft Palate* / surgery
  • Esthetics
  • Humans
  • Nose* / abnormalities
  • Nose* / surgery
  • Rhinoplasty* / methods