From the Dallas Plastic Surgery Institute and private practice.
Plast Reconstr Surg. 2021 Jul 1;148(1):133-143. doi: 10.1097/PRS.0000000000008124.
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.
The authors review nasal analysis in the cleft rhinoplasty patient and provide the surgical management for each aspect in the secondary cleft rhinoplasty.
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.
Secondary cleft rhinoplasty requires an understanding of the structural dysmorphology, and the use of cosmetic, functional, and secondary rhinoplasty techniques for its successful management.
二次唇裂鼻整形术呈现出一些最具挑战性的美容和功能鼻部畸形病例。了解唇裂鼻畸形中出现的解剖和生长异常有助于定制手术管理。本文旨在扩展单侧唇裂鼻畸形的二次鼻整形术的当前概念的应用。
作者回顾了唇裂鼻整形患者的鼻部分析，并为二次唇裂鼻整形术的每个方面提供了手术管理。
二次鼻整形术分为七个区域：梨状窝发育不良、鼻中隔重建、背侧重塑、鼻尖重塑、鼻尖突出度、鼻翼重塑和鼻翼重新定位。提供了每个区域的手术管理方法。
二次唇裂鼻整形术需要了解结构畸形，并使用美容、功能和二次鼻整形技术来成功管理。
