Analysis of Cleft Lip Nose Deformities Correction in Adults: Detailed Techniques and Comprehensive Review.

Choi, Chi Won; Kang, Kyung Dong; Kim, Kyoung Hoon; Bae, Yong Chan

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(6):755-760.
Published online November 1, 2011.

Analysis of Cleft Lip Nose Deformities Correction in Adults: Detailed Techniques and Comprehensive Review.

Chi Won Choi, Kyung Dong Kang, Kyoung Hoon Kim, Yong Chan Bae

Department of Plastic and Reconstructive Surgery, School of Medicine, Pusan National University, Busan, Korea. baeyc2@hanmail.net

Abstract

PURPOSE
Correction of cleft lip nose deformity(CLND) in adulthood is different from one in childhood. Usually correction of CLND is final surgery for adult patient who has cleft lip, so many things have to be considered for correction. Of course, it is different from common rhinoplasty, either. The adult patients can be corrected by complete rhinoplasty with various techniques. To recognize how rhinoplasty techniques was used for correction of CLND, authors analyzed detailed techniques which were selected in the adult patients for 10 years and reviewed comprehensive operation. METHODS: A retrospective review was conducted involving 64 patients with CLND who underwent surgery and aged after 14 years at operation between 2001 and 2010. Detailed techniques were investigated by medical record review and classified according to incision, septoplasty, osteotomies, correction of vault, tip plasty and etc.
RESULTS
Except one, all patients were performed open rhinoplasty. 49 patients were performed septoplasty. 33 patients were performed complete rhinoplasty with osteotomies. Hump nose correction was performed for 10 patients. Dorsal augmentation was performed for 8 patients. And all patients were performed tip plasty. Tip plasty using suture technique was performed for 58 patients and graft was performed for 48 patients.
CONCLUSION
Correction of CLND in adult is one of the most challenging and varied operation of plastic surgery. In this study, the majority of patients were performed complicated and delicated procedures. It seems to be because patient's demand level has been elevated and rhinoplasty procedures have been advanced. This study may help to planning of CLND correction.

Keywords: Cleft lip nose deformity; Rhinoplasty; Operative technique

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