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Review
. 2021 Jul 1;148(1):133-143.
doi: 10.1097/PRS.0000000000008124.

Secondary Rhinoplasty for Unilateral Cleft Nasal Deformity

Rod J Rohrich  1 , Michal Benkler  1 , Yash J Avashia  1 , Ira L Savetsky  1
Affiliations
Review

Secondary Rhinoplasty for Unilateral Cleft Nasal Deformity

Rod J Rohrich et al. Plast Reconstr Surg. .

Abstract

Background: Secondary cleft rhinoplasty presents some of the most challenging cases of both cosmetic and functional nasal deformities. Understanding the anatomy and growth abnormality seen with the cleft nasal deformity helps to tailor surgical management. This article seeks to expand on the application of current concepts in secondary rhinoplasty for unilateral cleft lip nasal deformity.

Methods: The authors review nasal analysis in the cleft rhinoplasty patient and provide the surgical management for each aspect in the secondary cleft rhinoplasty.

Results: The secondary rhinoplasty was divided into seven areas: piriform hypoplasia, septal reconstruction, dorsal reshaping, tip reshaping, tip projection, alar reshaping, and alar repositioning. Surgical management for each is provided.

Conclusion: Secondary cleft rhinoplasty requires an understanding of the structural dysmorphology, and the use of cosmetic, functional, and secondary rhinoplasty techniques for its successful management.

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Conflict of interest statement

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Figures

Fig. 1.
Fig. 1.
Timeline of cumulative confirmed cases (logarithmic scale) in the United States and New York City with corresponding early enactment of institutional and departmental policies. Asterisk, first confirmed case at a New York University–affiliated hospital; a, departmental cancellation of attendance at academic conferences; b, institutional cancellation of business-related travel, interviews, and visiting professorships; c, medical school cancellation of visiting and away electives for students; d, restriction on gatherings with more than five participants from outside institutions; e, resident wellness social event cancelled; f, operating room student presence restricted to conserve personal protective equipment; g, plastic surgery anatomy and surgical skills training for preclinical students postponed; h, all classes for preclinical students converted to virtual platform; i, medical students removed from clinical rotations; j, instatement of work-from-home policy for clinical research and departmental staff; k, cancellation of all elective surgical cases and citywide closure of all public schools; l, enactment of basic science and translational research restrictions; m, announcement of early medical student graduation option; n, departmental educational lectures converted to online platforms; o, ambulatory faculty group practices go virtual; p, request for faculty, fellows, and residents to join the COVID Army; q, first multispecialty faculty deployment and virtual New York University Grossman School of Medicine graduation ceremony.
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