Nasal deformities in cleft lip and palate: an update for dental professionals

Abstract

Cleft lip and palate nasal deformities often lead to a lasting stigma for those affected, presenting unique challenges due to the complex nasal anatomy. The quality of life and daily activities of patients may be greatly impacted by these defects, which can impose numerous functional limitations. The complex nasal structure in these cases makes treatment difficult, and a range of protocols has been developed to address both appearance and function. The effectiveness of presurgical orthopaedics prior to surgical intervention is not conclusive. Although gingivoperiosteoplasty has an indirect effect on nasal deformity, alveolar bone grafting provides structural support for the nose. Long-term follow-up is essential to maintain satisfactory outcomes and prevent relapse. The cleft care team typically includes orthodontists, prosthodontists, and oral surgeons. However, nasal deformities, which are often associated with septal deviation and sagging of the nasal dome, tend to fall within the expertise of maxillofacial surgeons, plastic surgeons, or ENT specialists. This review may offer valuable insights for dental professionals streamlined to evaluating and managing of nasal deformities in patients with cleft lip and palate.

Keywords

• cleft nasal deformities
• cheilognathopala-toschisis
• cheilorhinoplasty
• primary rhinoplasty