Management of Mid-Vault Asymmetry in Secondary Unilateral Cleft Lip-Nose Deformity

The Journal of Craniofacial Surgery
Joo Seok ParkKyung S Koh

Abstract

The focus of secondary rhinoplasty for patients with a cleft lip after facial growth has been on correcting nasal tip asymmetry and distorted cleft-side lower lateral cartilage. However, some patients present with mid-vault asymmetry even after secondary rhinoplasty. The authors propose camouflage procedures for patients with a unilateral cleft lip and without symptoms of nasal airway obstruction. In camouflage procedures, autologous cartilage or acellular dermal matrix was used for onlay grafting and placed on the upper lateral cartilage. In this report, case examples are described to illustrate the surgical techniques and results. This method enables the correction of mid-vault asymmetry without the use of an additional septal spreader graft.

References

Dec 7, 2000·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·C B Cutting
Nov 20, 2008·Archives of Facial Plastic Surgery·Sam P Most
Nov 17, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Norifumi NakamuraEtsuro Nozoe
Jan 20, 2010·Archives of Facial Plastic Surgery·Jonathan M Sykes
Apr 27, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Norifumi NakamuraTakao Fuchigami
Apr 8, 2017·Facial Plastic Surgery : FPS·Shannon RudySam P Most

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