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Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants

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Definitive Rhinoplasty and Orthognathic Surgery for Patients with Cleft Lip Palate.

Riham Eldesouky¹, Amir Elbarbary¹

¹Department of Plastic, Burns, and Maxillofacial Surgery, Ain-Shams University, Cairo, 11591, Egypt.

Oral and Maxillofacial Surgery Clinics of North America

|November 6, 2022

Summary

Secondary cleft lip nasal deformities present complex aesthetic and functional challenges. Definitive rhinoplasty after skeletal maturity offers significant improvements for patients with cleft lip, even with residual discrepancies.

Keywords:

Cleft nasal deformity Cleft orthognathic Definitive cleft rhinoplasty

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Area of Science:

Plastic Surgery
Craniofacial Surgery
Otolaryngology

Background:

Secondary cleft lip nasal deformity results from primary surgery residuals and growth distortions.
These deformities are compounded by skeletal, dentofacial, and soft tissue issues, creating significant challenges.
Addressing these complex deformities requires a multidisciplinary approach.

Purpose of the Study:

To review the management of secondary cleft lip nasal deformities.
To highlight the role of definitive rhinoplasty in improving patient outcomes.
To emphasize the importance of skeletal maturity and orthognathic surgery prior to rhinoplasty.

Main Methods:

Review of literature on secondary cleft lip nasal deformity management.
Discussion of surgical techniques, including rhinoplasty and orthognathic surgery.
Consideration of patient factors like skeletal maturity and orthodontic preparation.

Main Results:

Definitive rhinoplasty significantly improves aesthetics and function in cleft lip patients.
Maxillary advancement, with or without mandibular setback, is often a necessary component.
Outcomes can be enhanced with adjuvant therapies, despite potential residual discrepancies.

Conclusions:

Definitive rhinoplasty is a crucial intervention for secondary cleft lip nasal deformities.
Optimal timing involves skeletal maturity and correction of skeletal discrepancies.
Multidisciplinary care and adjuvant therapies are key to maximizing patient quality of life.