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Related Experiment Videos

Cleft lip nasal deformity.

T R Broadbent, R M Woolf

    Annals of Plastic Surgery
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Cleft lip nasal deformities stem from displaced lower lateral cartilage. Surgical correction during primary lip repair by repositioning this cartilage offers lasting improvement and prevents lifelong embarrassment.

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    Area of Science:

    • Plastic Surgery
    • Craniofacial Surgery
    • Pediatric Surgery

    Background:

    • Nasal deformity in cleft lip patients is characterized by inferior and lateral subluxation of the lower lateral cartilage.
    • This malposition creates a false lengthening of the nose on the affected side, with the columella extending to a depressed nostril rim.
    • The columella is not inherently short but appears so due to the cartilage displacement.

    Purpose of the Study:

    • To describe the underlying mechanism of cleft lip nasal deformity.
    • To present a surgical technique for correcting this deformity during primary lip repair.
    • To emphasize the long-term benefits of proper correction in both infants and adults.

    Main Methods:

    • Advancing the inferiorly and laterally subluxed lower lateral cartilage superiorly and medially.

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  • Fixing the repositioned cartilage to the upper lateral cartilage-septal junction in its normal anatomical position.
  • Applying the same repositioning principles for adult cleft lip nasal deformity correction.

    • Main Results:

    • Surgical correction by repositioning the lower lateral cartilage leads to a lasting improvement in nasal aesthetics.
    • Properly fixed cartilage does not interfere with normal nasal growth.
    • Effective correction alleviates long-term patient embarrassment associated with the deformity.

    Conclusions:

    • The cleft lip nasal deformity is primarily a cartilage position issue, not a short columella.
    • Surgical repositioning of the lower lateral cartilage during primary repair is an effective and durable solution.
    • Corrective surgery in infancy provides significant long-term functional and psychological benefits, with similar principles applicable to adult correction.