Primary Unilateral Cleft Lip Rhinoplasty Technique: The Melbourne Technique

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Otolaryngology

Background:

• Congenital cleft lip is frequently associated with primary nasal deformities of varying severity.
• These nasal deformities present both aesthetic and functional challenges that evolve over time.
• Existing techniques for primary correction may not consistently achieve long-term symmetry.

Purpose of the Study:

• To describe a novel surgical approach, the Melbourne technique, for correcting primary cleft lip nasal deformity.
• To detail modifications including septal cartilage repositioning, nasal floor reconstruction, and specific cartilage suspension.
• To evaluate the technique's efficacy in achieving long-term nasal symmetry in unilateral cleft patients.

Main Methods:

• The Melbourne technique involves repositioning the septal cartilage to the facial midline.
• Reconstruction of the nasal floor is a key component of the procedure.
• An upper lateral suture is utilized to suspend and overcorrect the lower lateral cartilage, modifying the McComb technique.

Main Results:

• The described techniques have demonstrated improved nasal symmetry in patients with unilateral cleft lip.
• The modifications aim for definitive, long-term symmetry in the correction of the cleft lip nasal deformity.
• Clinical outcomes indicate a positive impact on the aesthetic and functional aspects of the cleft nasal deformity.

Conclusions:

• The Melbourne technique offers a novel and effective approach to primary cleft lip nasal deformity.
• Repositioning septal cartilage and specific suturing techniques contribute to improved nasal symmetry.
• This modified approach shows potential for achieving superior long-term aesthetic and functional results in cleft lip repair.