■ Management of the Cleft Nasal Deformity
B – Comprehensive
The nasal deformity associated with congenital cleft lip is a complex defect that results in significant aesthetic and functional problems. The defect involves all tissue layers including the bony platform of the nose, the inner nasal lining, the cartilaginous infrastructure, and the external skin. The extent of the deformity varies with the degree of lip abnormality; it may be unilateral or bilateral and subtle or complete.
The goal of complete care of the cleft nasal deformity is to minimize functional problems and to maximize the appearance of the nose. This requires the surgeon to have an understanding of the pathophysiology of clefting, and the three-dimensional nature of the cleft nasal deformity. This master class will discuss the anatomy and pathophysiology of the cleft lip nasal deformity and the timing and technique of the various repairs needed.
- To understand the pathophysiology and applied anatomy of congenital cleft noses.
- To provide an algorithm for timing and repair of cleft noses.
- To describe techniques that are used in cosmetic and functional rhinoplasty that apply to repairing the cleft nose