Septorhinoplasty in Patients with Cleft Lip and Palate Deformity in Adulthood

Abstract

INTRODUCTION[|]Complete cleft lip causes significant nasal deformity and most of these patients require definitive nasal surgery in early adulthood. This article is description of long-term results of 6 patients operated on due to nasal deformity secondary to cleft lip.[¤]METHODS[|]Six patients with severe nasal deformity due to unilateral or bilateral complete cleft lip were included in the study. Four patients were female and 2 patients were male; mean age was 22.5 years. Patients were operated on using open approach septorhinoplasty method. Standardized facial photographs and surgery satisfaction questionnaires of all patients were evaluated retrospectively.[¤]RESULTS[|]Two minor complications not requiring revision surgery were detected in mean follow-up period of 22.5 months (minimal hanging columella deformity and unilateral soft triangle retraction). Significant improvement in nasal and facial appearance was seen in postoperative photographs, and results of questionnaire clearly demonstrated dramatic increase in patient satisfaction.[¤]DISCUSSION AND CONCLUSION[|]Successful septorhinoplasty procedure can provide significantly positive results in nasal appearance, breathing, social life, and self-esteem of patients with nasal deformity secondary to complete cleft lip.[¤]

Keywords

• cleft lip and palate
• complete cleft lip deformity
• nasal deformity
• septorhinoplasty