eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Cleft Lip Nasal Deformity: Multimedia

Author: Samuel M Lam, MD, FACS, Department of Otolaryngology, Facial Plastic Surgery, Presbyterian Hospital of Plano
Coauthor(s): Maurice M Khosh, MD, FACS, Clinical Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons; Private Practice, Head and Neck Surgical Group; Attending Surgeon, Lenox Hill Hospital, Manhattan Eye, Ear and Throat Infirmary, Columbia Presbyterian Medical Center, St Luke's-Roosevelt Hospital Center, Beth Israel Medical Center
Contributor Information and Disclosures

Updated: Jun 1, 2009

Multimedia

Cleft lip nasal deformity. A: Basal view. B: Fron...Media file 1: Cleft lip nasal deformity. A: Basal view. B: Frontal view.
Cleft lip nasal deformity. A: Basal view. B: Fron...

Cleft lip nasal deformity. A: Basal view. B: Frontal view.

Cleft lip nasal deformity. Septum deviated toward...Media file 2: Cleft lip nasal deformity. Septum deviated toward cleft side and lying outside of maxillary crest.
Cleft lip nasal deformity. Septum deviated toward...

Cleft lip nasal deformity. Septum deviated toward cleft side and lying outside of maxillary crest.

Cleft lip nasal deformity. Ivy modification of th...Media file 3: Cleft lip nasal deformity. Ivy modification of the Blair procedure. Laterally based nostril rim flap rotated medially inward.
Cleft lip nasal deformity. Ivy modification of th...

Cleft lip nasal deformity. Ivy modification of the Blair procedure. Laterally based nostril rim flap rotated medially inward.

Cleft lip nasal deformity. Dingman technique. Nos...Media file 4: Cleft lip nasal deformity. Dingman technique. Nostril rotated via columellar and alar-based flap.
Cleft lip nasal deformity. Dingman technique. Nos...

Cleft lip nasal deformity. Dingman technique. Nostril rotated via columellar and alar-based flap.

Cleft lip nasal deformity. V-Y advancement for co...Media file 5: Cleft lip nasal deformity. V-Y advancement for columellar lengthening.
Cleft lip nasal deformity. V-Y advancement for co...

Cleft lip nasal deformity. V-Y advancement for columellar lengthening.

Cleft lip nasal deformity. Rectangular flap for c...Media file 6: Cleft lip nasal deformity. Rectangular flap for columellar lengthening.
Cleft lip nasal deformity. Rectangular flap for c...

Cleft lip nasal deformity. Rectangular flap for columellar lengthening.

Cleft lip nasal deformity. Brauer-Foerster proced...Media file 7: Cleft lip nasal deformity. Brauer-Foerster procedure for columellar lengthening via medial rotation of bilobed flaps.
Cleft lip nasal deformity. Brauer-Foerster proced...

Cleft lip nasal deformity. Brauer-Foerster procedure for columellar lengthening via medial rotation of bilobed flaps.

Cleft lip nasal deformity. Cronin procedure for c...Media file 8: Cleft lip nasal deformity. Cronin procedure for columellar lengthening. Anteriorly based bilobed flap is advanced anteriorly, and posteriorly based columellar flap is advanced posteriorly.
Cleft lip nasal deformity. Cronin procedure for c...

Cleft lip nasal deformity. Cronin procedure for columellar lengthening. Anteriorly based bilobed flap is advanced anteriorly, and posteriorly based columellar flap is advanced posteriorly.

Cleft lip nasal deformity. Ferris-Smith procedur...Media file 9: Cleft lip nasal deformity. Ferris-Smith procedure. Repair of total columellar loss; full-thickness skin graft (FTSG) is buried beneath upper lip skin and later rotated into place.
Cleft lip nasal deformity. Ferris-Smith procedur...

Cleft lip nasal deformity. Ferris-Smith procedure. Repair of total columellar loss; full-thickness skin graft (FTSG) is buried beneath upper lip skin and later rotated into place.

Cleft lip nasal deformity. Serre method. Repair o...Media file 10: Cleft lip nasal deformity. Serre method. Repair of total columellar loss; doubled full-thickness skin graft (FTSG) is buried beneath upper lip skin and later rotated into place.
Cleft lip nasal deformity. Serre method. Repair o...

Cleft lip nasal deformity. Serre method. Repair of total columellar loss; doubled full-thickness skin graft (FTSG) is buried beneath upper lip skin and later rotated into place.

Cleft lip nasal deformity. Elevation of nostril ...Media file 11: Cleft lip nasal deformity. Elevation of nostril apex by excision of skin wedge.
Cleft lip nasal deformity. Elevation of nostril ...

Cleft lip nasal deformity. Elevation of nostril apex by excision of skin wedge.

Cleft lip nasal deformity. Thomas Rees technique...Media file 12: Cleft lip nasal deformity. Thomas Rees technique. Lateral crus of lower lateral cartilage is severed from lateral attachment and advanced medially to be sutured to contralateral ala.
Cleft lip nasal deformity. Thomas Rees technique...

Cleft lip nasal deformity. Thomas Rees technique. Lateral crus of lower lateral cartilage is severed from lateral attachment and advanced medially to be sutured to contralateral ala.

Cleft lip nasal deformity. Tajima reverse-U tech...Media file 13: Cleft lip nasal deformity. Tajima reverse-U technique. A: Intranasal incision. B: Suture ala on the cleft side to (1) ipsilateral upper lateral cartilage, (2) contralateral cartilage, and (3) contralateral ala.
Cleft lip nasal deformity. Tajima reverse-U tech...

Cleft lip nasal deformity. Tajima reverse-U technique. A: Intranasal incision. B: Suture ala on the cleft side to (1) ipsilateral upper lateral cartilage, (2) contralateral cartilage, and (3) contralateral ala.

Cleft lip nasal deformity. Cartilage grafts. A: ...Media file 14: Cleft lip nasal deformity. Cartilage grafts. A: Onlay alar graft. B and C: Turnover alar graft.
Cleft lip nasal deformity. Cartilage grafts. A: ...

Cleft lip nasal deformity. Cartilage grafts. A: Onlay alar graft. B and C: Turnover alar graft.

Cleft lip nasal deformity. Bilateral cleft lip na...Media file 15: Cleft lip nasal deformity. Bilateral cleft lip nasal deformity. Broad, flat, bifid tip; wide alar bases; and short columella. A: Frontal view. B: Profile view.
Cleft lip nasal deformity. Bilateral cleft lip na...

Cleft lip nasal deformity. Bilateral cleft lip nasal deformity. Broad, flat, bifid tip; wide alar bases; and short columella. A: Frontal view. B: Profile view.

Cleft lip nasal deformity. Millard classic forked...Media file 16: Cleft lip nasal deformity. Millard classic forked flaps. One taken from each side of prolabium and banked within nasal sills during primary lip repair until secondary rhinoplasty.
Cleft lip nasal deformity. Millard classic forked...

Cleft lip nasal deformity. Millard classic forked flaps. One taken from each side of prolabium and banked within nasal sills during primary lip repair until secondary rhinoplasty.

More on Cleft Lip Nasal Deformity

Overview: Cleft Lip Nasal Deformity
Treatment: Cleft Lip Nasal Deformity
Follow-up: Cleft Lip Nasal Deformity
Multimedia: Cleft Lip Nasal Deformity
References

References

  1. Warren DW, Drake AF, Davis JU. Nasal airway in breathing and speech. Cleft Palate Craniofac J. Nov 1992;29(6):511-9. [Medline].

  2. McComb H. Primary repair of the bilateral cleft lip nose: a 15-year review and a new treatment plan. Plast Reconstr Surg. Nov 1990;86(5):882-9; discussion 890-3. [Medline].

  3. Mulliken JB. Correction of the bilateral cleft lip nasal deformity: evolution of a surgical concept. Cleft Palate Craniofac J. Nov 1992;29(6):540-5. [Medline].

  4. Chetpakdeechit W, Hallberg U, Hagberg C, Mohlin B. Social life aspects of young adults with cleft lip and palate: grounded theory approach. Acta Odontol Scand. 2009;67(2):122-8. [Medline].

  5. Black PW, Hartrampf CR Jr, Beegle P. Cleft lip type nasal deformity: definitive repair. Ann Plast Surg. Feb 1984;12(2):128-38. [Medline].

  6. Chait LA. The "C" costal cartilage graft in reconstruction of the unilateral cleft lip nose. Br J Plast Surg. Apr 1981;34(2):169-72. [Medline].

  7. Davis PK. Cleft lip nose tip deformity: a tutorial dissertation. Br J Plast Surg. Apr 1983;36(2):200-3. [Medline].

  8. de Sa Nobrega ES. Cleft lip nose: a different approach. J Craniofac Surg. Jan 2005;16(1):95-9. [Medline].

  9. Drake AF, Davis JU, Warren DW. Nasal airway size in cleft and noncleft children. Laryngoscope. Aug 1993;103(8):915-7. [Medline].

  10. Holt GR. Management of cleft lip nasal deformity. Facial Plast Surg. Spring 1986;3(3):161-74. [Medline].

  11. Jackson IT, Yavuzer R, Kelly C, Bu-Ali H. The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity. J Craniofac Surg. Mar 2005;16(2):255-61. [Medline].

  12. Lee KC, Kwon YS, Park JM, et al. Nasal tip plasty using various techniques in rhinoplasty. Aesthetic Plast Surg. Nov-Dec 2004;28(6):445-55. [Medline].

  13. Liou EJ, Subramanian M, Chen PK. Progressive changes of columella length and nasal growth after nasoalveolar molding in bilateral cleft patients: a 3-year follow-up study. Plast Reconstr Surg. 2007;119(2):642-8. [Medline].

  14. Millard DR. Cleft Craft. Vol 2. Boston, Mass:. Little Brown & Co;1977.

  15. Numa W, Eberlin K, Hamdan US. Alar base flap and suspending suture: a strategy to restore symmetry to the nasal alar contour in primary cleft-lip rhinoplasty. Laryngoscope. 2006;116:2171-7. [Medline].

  16. Peled IJ, Ramon Y, Ullmann Y. Wrap-around cartilage flap for correction of unilateral cleft lip nose deformity. Plast Reconstr Surg. Jun 1997;99(7):2085-8. [Medline].

  17. Randall P. History of cleft lip nasal repair. Cleft Palate Craniofac J. Nov 1992;29(6):527-30. [Medline].

  18. Sandham A, Murray JA. Nasal septal deformity in unilateral cleft lip and palate. Cleft Palate Craniofac J. Mar 1993;30(2):222-6. [Medline].

  19. Tajima S, Maruyama M. Reverse-U incision for secondary repair of cleft lip nose. Plast Reconstr Surg. Aug 1977;60(2):256-61. [Medline].

  20. Tamada I, Nakajima T, Ogata H, Onishi F. Secondary repair of cleft lip nose deformity using subcutaneous pedicle flaps from the unaffected side. Br J Plast Surg. Apr 2005;58(3):312-7. [Medline].

Further Reading

Keywords

cleft lip nasal deformity, unilateral cleft lip, bilateral cleft lip, cleft-lip nasal deformity, hare lip, cleft deformity, cleft nose, cleft lip, nasal deformity

Contributor Information and Disclosures

Author

Samuel M Lam, MD, FACS, Department of Otolaryngology, Facial Plastic Surgery, Presbyterian Hospital of Plano
Samuel M Lam, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Maurice M Khosh, MD, FACS, Clinical Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons; Private Practice, Head and Neck Surgical Group; Attending Surgeon, Lenox Hill Hospital, Manhattan Eye, Ear and Throat Infirmary, Columbia Presbyterian Medical Center, St Luke's-Roosevelt Hospital Center, Beth Israel Medical Center
Maurice M Khosh, MD, FACS 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, American Medical Association, and Triological Society
Disclosure: Nothing to disclose.

Medical Editor

Mimi S Kokoska, MD, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences; Chief, Department of Otolaryngology-Head and Neck Surgery, Central Arkansas Veterans Healthcare System
Mimi S Kokoska, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American College of Surgeons, American Head and Neck Society, and Arkansas Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

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

Managing Editor

Robert M Kellman, MD, Professor and Chair, Department of Otolaryngology and Communication Sciences, State University of New York, Upstate Medical University
Robert M Kellman, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Neurotology Society, American Rhinologic Society, American Society for Head and Neck Surgery, Medical Society of the State of New York, and Triological Society
Disclosure: GE Healthcare Honoraria Review panel membership

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, 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, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.