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Novel Titanium Tip Support in Cleft Rhinoplasty: A Retrospective Study
Kleber Alberto de Souza Seabra1, José Wittor de Macêdo Santos2, Wilson José Dewes1
1Foundation for Rehabilitation of Craniofacial Deformities, Lajeado.
The Journal of Craniofacial Surgery
|September 18, 2025
Summary
Titanium miniplates significantly improved nasal function and appearance in cleft lip and palate patients undergoing reconstructive rhinoplasty. This stable framework approach enhanced patient satisfaction and nasal tip support.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Otolaryngology
Background:
- Cleft lip and palate patients frequently have severe nasal deformities requiring complex surgical correction.
- Titanium miniplates offer a stable framework for nasal reconstruction, potentially improving both aesthetics and function.
Purpose of the Study:
- To evaluate functional and aesthetic outcomes of rhinoplasty in cleft patients using titanium miniplates for nasal reconstruction.
Main Methods:
- Retrospective cohort study of 41 cleft lip and palate patients undergoing definitive rhinoplasty with titanium miniplates (2000-2024).
- Functional outcomes assessed via NOSE-p questionnaire; aesthetic outcomes via Utrecht Questionnaire and Visual Analog Scale (VAS).
Main Results:
- Significant improvement in mean NOSE-p scores (62.44 to 21.22, P <0.001).
- Enhanced aesthetic self-perception (VAS median 3.0 to 8.0) and reduced Utrecht scores (17.51 to 7.88, P <0.001).
- Low complication rate of 7.3%.
Conclusions:
- Titanium miniplate-assisted rhinoplasty is effective for secondary cleft nasal reconstruction, providing stable nasal tip support.
- This technique yields significant functional and aesthetic improvements in cleft patients.
