eMedicine Specialties > Plastic Surgery > Craniofacial

Structural Support in Correction of Cleft Nasal Deformity: Multimedia

Author: Andrew Jacono, MD, Chief, Section of Facial Plastic and Reconstructive Surgery, The North Shore University Hospital at Manhasset; Assistant Professor, Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York Medical College; Assistant Professor, Department of Head and Neck Surgery, Albert Einstein College of Medicine; Director, The New York Center for Facial Plastic and Laser Surgery
Coauthor(s): Mark Gorney, MD, Associate Clinical Professor, Department of Plastic Surgery, Stanford University and University of California at San Francisco
Contributor Information and Disclosures

Updated: Oct 16, 2008

Multimedia

Sources of structural support material (in order ...Media file 1: Sources of structural support material (in order of preference): A, septum; B, ear cartilage; C, rib cartilage; D, tibial crest; E, pelvic rim crest.
Sources of structural support material (in order ...

Sources of structural support material (in order of preference): A, septum; B, ear cartilage; C, rib cartilage; D, tibial crest; E, pelvic rim crest.

A. Nostril and columellar rim incision for comple...Media file 2: A. Nostril and columellar rim incision for complete tip cartilage exposure. B. Surgeon's view after dissection and elevation.
A. Nostril and columellar rim incision for comple...

A. Nostril and columellar rim incision for complete tip cartilage exposure. B. Surgeon's view after dissection and elevation.

A. Three views of carved dorsal "keel" implant: (...Media file 3: A. Three views of carved dorsal "keel" implant: (1) lateral, (2) ventral, and (3) dorsal. B. Diagrammatic placement of implant. "Keel" must fit firmly into the dorsal edge or between separated nasal bones.
A. Three views of carved dorsal "keel" implant: (...

A. Three views of carved dorsal "keel" implant: (1) lateral, (2) ventral, and (3) dorsal. B. Diagrammatic placement of implant. "Keel" must fit firmly into the dorsal edge or between separated nasal bones.

Centripetal rotation of nostril axes and fixation...Media file 4: Centripetal rotation of nostril axes and fixation to vertical post.
Centripetal rotation of nostril axes and fixation...

Centripetal rotation of nostril axes and fixation to vertical post.

A. Degloving of soft tissues of nasal tip includi...Media file 5: A. Degloving of soft tissues of nasal tip including septal perichondrium. B. Elevation of dissected tip soft tissue by upward traction.
A. Degloving of soft tissues of nasal tip includi...

A. Degloving of soft tissues of nasal tip including septal perichondrium. B. Elevation of dissected tip soft tissue by upward traction.

Centripetal rotation and fixation across septal p...Media file 6: Centripetal rotation and fixation across septal post with sutures or soft tissues.
Centripetal rotation and fixation across septal p...

Centripetal rotation and fixation across septal post with sutures or soft tissues.

Preoperative view; immediate postoperative view.Media file 7: Preoperative view; immediate postoperative view.
Preoperative view; immediate postoperative view.

Preoperative view; immediate postoperative view.

Preoperative and 5-year postoperative views of su...Media file 8: Preoperative and 5-year postoperative views of surgical repair of cleft nasal deformity.
Preoperative and 5-year postoperative views of su...

Preoperative and 5-year postoperative views of surgical repair of cleft nasal deformity.

Preoperative and 5-year postoperative views of su...Media file 9: Preoperative and 5-year postoperative views of surgical repair of cleft nasal deformity.
Preoperative and 5-year postoperative views of su...

Preoperative and 5-year postoperative views of surgical repair of cleft nasal deformity.

Preoperative and 7-year postoperative views of su...Media file 10: Preoperative and 7-year postoperative views of surgical repair of cleft nasal deformity.
Preoperative and 7-year postoperative views of su...

Preoperative and 7-year postoperative views of surgical repair of cleft nasal deformity.

More on Structural Support in Correction of Cleft Nasal Deformity

References

References

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Further Reading

Keywords

cleft nasal deformity, cleft lip, "hare lip, " cleft lip reconstruction, cleft lip surgery, cleft nose surgery, cleft nasal surgery, secondary cleft lip, nasal deformity, nasal deformities

Contributor Information and Disclosures

Author

Andrew Jacono, MD, Chief, Section of Facial Plastic and Reconstructive Surgery, The North Shore University Hospital at Manhasset; Assistant Professor, Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York Medical College; Assistant Professor, Department of Head and Neck Surgery, Albert Einstein College of Medicine; Director, The New York Center for Facial Plastic and Laser Surgery
Andrew Jacono, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Mark Gorney, MD, Associate Clinical Professor, Department of Plastic Surgery, Stanford University and University of California at San Francisco
Mark Gorney, MD is a member of the following medical societies: American Association of Plastic Surgeons, American College of Legal Medicine, American College of Surgeons, American Society of Plastic Surgeons, California Medical Association, and Pan American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Larry Hollier, Jr, MD, Assistant Professor, Department of Plastic Surgery, Baylor University College of Medicine
Larry Hollier, Jr, MD is a member of the following medical societies: Alpha Omega Alpha, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, AO Foundation, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

S Anthony Wolfe, MD, Chief, Division of Plastic Surgery, Miami Children's Hospital; Voluntary Professor, Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Miami School of Medicine
S Anthony Wolfe, MD is a member of the following medical societies: American Academy of Pediatrics, American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic and Reconstructive Surgery, Florida Medical Association, and Southeastern Society of Plastic and Reconstructive Surgeons
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery
Disclosure: Ethicon  Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Medicis Intellectual property rights None

 
 
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