The cleft nasal deformity is a complex challenge in plastic surgery involving the skin, cartilage, mucosa, and skeletal platform. Ever since Blair and Brown first described the intricacies of the cleft pathology in , the appropriate approach has been extensively debated in the literature with respect to timing, technique, and extent of surgical intervention. In this article, the authors review the literature and summarize the various modalities for achieving a successful rhinoplasty in the patient with a cleft nasal deformity. The cleft nasal deformity involves the skin, cartilage, mucosa, and skeletal platform. Theories regarding the origination of the cleft nasal deformity have been discussed extensively and continue to be debated today.
Rhinoplasty in Adult Patients with Cleft — Lip Nasal Deformities
Management of cleft lip and palate in adults
Adult cleft lip repair and reconstruction is one of the foundations of Dr. In addition to cosmetic and adult reconstructive surgery, Dr. His directorship position integrated the total coordination of the newborn cleft child with the team consisting of oral surgeons, otologist, otorhinolaryngoloist, speech therapist, dentist, orthodontist, and nutritionist. Today he treats many adult patients with scarred cleft repairs and with poorly and inadequately treated adult cleft lip problems who may have been originally treated in Third World countries. Apesos embraces this challenge, which is personally fulfilling with great results.
Adult Cleft Lip & Palate
Problem Children born with cleft lips and cleft palates generally have associated defects of the nose as well. The septum generally has a significant deviation or deflection and the inner lining of the nose on the affected side if it is a one-sided cleft is also deficient and thus tight. In addition, to the nasal abnormalities the facial bones surrounding the nose usually are misshapen, deficient, and asymmetric. The combination of all of these factors creates an abnormal nose with very complex and interwoven causes.
This surgery may be aesthetic meaning it aims to change something about the way you look , and sometimes it can be functional for example, helping you breathe easier or speak more clearly. The Clinical Psychologist in your Cleft Team will usually make an appointment with you to give you a chance to talk through these feelings before your surgery, but you might also find it helps to talk to your friends or family about this. You may also want to talk to other young people with a cleft about their experiences of the surgery — try our Facebook Group.