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Related Concept Videos

Nose and Nasal Cavity01:24

Nose and Nasal Cavity

The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Bilateral cleft lip nasal deformity.

Arun Kumar Singh1, R Nandini

  • 1Department of Plastic Surgery, C.S.M.M.U (upgraded K.G.M.C), Lucknow, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|April 7, 2010
PubMed
Summary
This summary is machine-generated.

Surgical correction of bilateral cleft lip nose deformity is complex, with varied approaches for primary and secondary repair. Early intervention is trending, but optimal timing and surgical extent remain debated for best outcomes.

Keywords:
Bilateral cleftcleft lip noseprimary nasal repair

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Bilateral cleft lip nose deformity is a complex, multifactorial condition that worsens with child growth if uncorrected.
  • Surgical goals include nasal floor closure, columella lengthening, alar base repositioning, tip projection, cartilage repositioning, and nares reorientation.
  • The lack of a universally effective single procedure highlights the complexity of this deformity.

Purpose of the Study:

  • To review current popular methods for correcting nasal deformities in bilateral cleft lip.
  • To discuss management strategies during primary cleft lip repair and secondary (later) correction.
  • To present practices employed at the authors' center.

Main Methods:

  • Review of literature on surgical techniques for bilateral cleft lip nose deformity.
  • Discussion of timing and extent of surgical intervention.
  • Consideration of secondary deformity management and influencing factors.

Main Results:

  • No single surgical procedure is universally effective for bilateral cleft lip nose deformity.
  • Debate exists regarding the optimal timing for surgical intervention (early vs. later).
  • Varying opinions exist on the extent of nasal dissection during primary lip repair.

Conclusions:

  • Management of bilateral cleft lip nose deformity requires careful consideration of timing, surgical extent, and individual patient factors.
  • The article reviews popular methods and discusses primary and secondary correction strategies.
  • Practices at the authors' center are also presented for comparison and insight.