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Articles linked to this work by shared authors, journal, and citation graph.

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The Cleft Nasal Deformity.

Atlas of the oral and maxillofacial surgery clinics of North America·2022
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Complications in Fat Grafting.

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Related Experiment Video

Updated: Nov 28, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Challenging Rhinoplasty for the Cleft Lip and Palate Patient.

Angelo Cuzalina1, Pasquale G Tolomeo1

  • 1Tulsa Surgical Arts, 7322 East 91(st) Street Tulsa, OK 74133, USA.

Oral and Maxillofacial Surgery Clinics of North America
|November 28, 2020
PubMed
Summary
This summary is machine-generated.

Septorhinoplasty in cleft lip and palate patients is complex due to scar tissue and structural deficits. Autogenous rib cartilage grafts effectively reconstruct cartilage and bone, fortifying soft tissues for improved outcomes.

Keywords:
Cleft rhinoplastyDefinitive rhinoplastyNasal revisionUnilateral/bilateral cleft rhinoplasty

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Area of Science:

  • Plastic surgery
  • Craniofacial surgery
  • Otolaryngology

Background:

  • Septorhinoplasty presents significant challenges in cleft lip and palate (CLP) patients.
  • Previous surgeries lead to scar tissue, asymmetry, and structural deficits in CLP patients.
  • Reconstruction of cartilaginous and bony structures is crucial for successful CLP treatment.

Purpose of the Study:

  • To highlight the challenges of septorhinoplasty in cleft lip and palate patients.
  • To emphasize the importance of cartilage and bone reconstruction in these cases.
  • To discuss the utility of autogenous rib cartilage grafts in managing CLP deformities.

Main Methods:

  • Review of surgical considerations for septorhinoplasty in CLP patients.
  • Discussion of reconstructive techniques focusing on cartilage and bone.
  • Evaluation of autogenous rib cartilage as a grafting material.

Main Results:

  • CLP patients present unique surgical obstacles due to extensive prior surgeries.
  • Scar tissue, asymmetry, and structural deficits are common findings.
  • Autogenous rib cartilage provides versatile grafts for reconstruction and soft tissue support.

Conclusions:

  • Septorhinoplasty in CLP patients requires specialized approaches.
  • Autogenous rib cartilage is a valuable resource for reconstructing skeletal deficits and supporting soft tissues.
  • Effective management relies on addressing both cartilaginous/bony structures and soft tissue deformities.