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Vestibular Marginal Skin Excision Technique for Minor Secondary Unilateral Cleft Nose Deformity
Percy Rossell-Perry1,2, Arquimedes Gavino-Gutierrez1,2
1Health of Science Faculty School of Human Medicine, Peruvian University Union (UpeU).
The Journal of Craniofacial Surgery
|January 9, 2025
Summary
This study presents a new minimal incision technique for secondary cleft rhinoplasty, achieving 84% nostril symmetry in unilateral cleft lip patients. Further research is needed to confirm long-term effectiveness.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Secondary nasal deformities are common after unilateral cleft lip repair.
- Nasal dome depression, flattened ala, and septal deviation characterize these deformities.
- Intermediate cleft rhinoplasty is crucial before preschool psychosocial development.
Purpose of the Study:
- To describe an innovative minimal incision and tip dissection technique for secondary nasal repair in unilateral cleft lip patients.
- To evaluate the efficacy of this novel approach for correcting secondary nasal deformities.
Main Methods:
- Prospective cohort study of 25 consecutive patients with minor secondary nasal deformities.
- Technique involves vestibular marginal skin excision and nasal tip dissection.
- Outcomes assessed via anthropometric measurements with a minimum 3-year follow-up.
Main Results:
- The minimal incision technique achieved total nostril symmetry in 84% of cases.
- Symmetry was maintained during follow-up until the time of alveolar bone grafting.
- The single surgeon successfully applied the technique to 25 patients.
Conclusions:
- The proposed secondary cleft rhinoplasty technique effectively improves nostril appearance in minor secondary unilateral nasal deformities.
- Longer follow-up and comparative studies are necessary to fully establish efficacy.
- This method offers a promising solution for improving aesthetic outcomes in cleft patients.
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