Nasal clefts.

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Nasal clefts, specifically Tessier types 0, 1, 2, and 3, represent a spectrum of congenital facial anomalies.
• Effective surgical management requires a comprehensive understanding of anatomical variations and potential complications.

Purpose of the Study:

• To present a 20-year experience in treating 154 cases of nasal clefts (Tessier types 0-3).
• To analyze surgical techniques, long-term outcomes, aesthetic results, and facial growth.
• To establish current treatment criteria based on extensive clinical experience.

Main Methods:

• Retrospective analysis of 154 nasal cleft cases treated over two decades.
• Detailed discussion of clinical features, therapeutic challenges, and operative procedures for each cleft type.
• Evaluation of long-term patient evolution, focusing on aesthetics and facial development.

Main Results:

• Comprehensive review of surgical interventions for various nasal cleft presentations.
• Assessment of the relationship between surgical methods and long-term aesthetic and functional outcomes.
• Identification of key factors influencing successful treatment and patient satisfaction.

Conclusions:

• Long-term follow-up is crucial for evaluating the efficacy of surgical interventions for nasal clefts.
• Aesthetic and functional results are influenced by the choice of operative procedure and patient-specific factors.
• Evidence-based treatment criteria are essential for optimizing outcomes in nasal cleft repair.