Rhinoplasty in Adult Patients with Cleft — Lip Nasal Deformities

Among facial esthetic surgeons, secondary rhinoplasty in adult cleft –nose deformities is considered to be one of the most challenging surgical interventions due to the congenital distortion of the cartilaginous and bony nasal pyramid, which compromises both nasal esthetics and function. It is generally accepted that the cleft-lip nasal deformity (CLND) is challenging; It is attempted to do this either at the time of primary rhinoplasty in the early of age with repair of lip or by secondary rhinoplasty later on in life. CLND may vary from minor to severe deformity. Several techniques have been suggested and plenty of articles have discussed this issue but still there is no consensus on an optimal technique to manage all of the problems. The common techniques that we use in routine rhinoplasty may not yield good results in patients with CLND, and the reasons for that are: