Three Dimensional Rhinoplasty and Nasal Airway Improvement in Cleft-Nose Deformity

Area of Science:

• Plastic Surgery
• Otolaryngology
• Craniofacial Surgery

Background:

• Revision septorhinoplasty for cleft lip nose deformity presents unique surgical challenges due to complex nasal anatomy and deformities.
• Existing surgical techniques for secondary cleft rhinoplasty often lack clarity and efficacy in addressing functional and aesthetic deficits.

Purpose of the Study:

• To evaluate the effectiveness of secondary rhinoplasty incorporating extracorporeal septoplasty in improving nasal airway and appearance in patients with cleft lip nose deformity.
• To assess patient-reported outcomes regarding nasal obstruction, breathing, aesthetics, and self-confidence.

Main Methods:

• A cohort of 26 patients with cleft lip nose deformity underwent secondary rhinoplasty with extracorporeal septoplasty between 2014 and 2017.
• Surgical outcomes were assessed using the modified rhinoplasty outcome evaluation questionnaire to gauge subjective patient satisfaction.

Main Results:

• All patients experienced significant relief from nasal obstruction and reported improved nasal breathing.
• Over 80% of patients expressed satisfaction with enhanced facial aesthetics and a reported increase in self-confidence.

Conclusions:

• Secondary cleft rhinoplasty utilizing extracorporeal septoplasty is an effective surgical approach for improving both the cosmetic appearance and functional nasal airway.
• This surgical intervention leads to enhanced cosmesis, improved nasal airflow, and increased patient self-confidence in individuals with cleft lip nose deformities.