Surgical Technique for Nasal Cleft Repair

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Congenital nasal cleft is a rare craniofacial anomaly.
• Tessier classification system designates nasal ala clefts as types 1 and 2.
• These clefts present unique reconstructive challenges.

Purpose of the Study:

• To describe a surgical technique for correcting isolated congenital nasal clefts.
• To evaluate the aesthetic outcomes of the described procedure.

Main Methods:

• Utilized local tissue rearrangement, including laterally based rotational alar flap, medially based triangular flap, and nasal wall advancement flap.
• Reconstruction focused on restoring normal nasal anatomy using existing adjacent tissue.

Main Results:

• Five children with isolated nasal clefts were treated between 2010 and 2017.
• All patients had soft tissue clefts without underlying cartilage involvement.
• No postoperative complications were reported, with excellent aesthetic results in all cases.

Conclusions:

• The described surgical technique provides a single-stage solution for isolated nasal clefts.
• The procedure yields optimal aesthetic results and can be reliably performed.