Long-Term Effect of Primary Cleft Rhinoplasty on Secondary Cleft Rhinoplasty in Patients with Unilateral Cleft Lip–Cleft Palate

• DOI: 10.1097/prs.0b013e3182402e8e
• Publication Date: 2012-02-29T14:14:26Z
• Authors: Nicholas T. Haddock; Mark H. McRae; Court B. Cutting
• Keywords: Male; Reoperation; Time Factors; Adolescent; Cleft Lip; Nose; Rhinoplasty; Cleft Palate; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Retrospective Studies

The senior author routinely performs primary nasal reconstruction with every cleft lip repair. This addresses the tip asymmetry and simplifies definitive secondary rhinoplasty in adolescence.A retrospective chart review was completed of all unilateral rhinoplasties performed by author. indications for were examined, anatomical features nose at time operation documented, reconstructive techniques used recorded.From 2001 to 2009, 116 patients a previously repaired lip. 44 initial repairs (group A). A Dibbell required 26 percent, Potter 5 Tajima inverted-U incision 70 an alar base resection 53 percent. For those who did not undergo repair author, 60 percent rhinoplasty, used, 76 incision, 64 resection. Group had significantly greater dome symmetry when comparing side noncleft (p = 0.001). Nostril apex height also more symmetrical group 0.105).Primary as described makes symmetric requires less complex intervention rhinoplasty.Therapeutic, IV.