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Rhinoplasty for correction of cleft nose defect to enhance appearance

9/1/2015

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A girl with unilateral cleft lip and palate defect came to our hospital seeking to correct her cleft nose defect to enhance her appearance. The cleft lip and palate defects were treated elsewhere in her childhood. Now her right nostril appeared collapsed and the tip of the nose appeared sagging which affected her facial appearance.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed the cleft rhinoplasty to correct her nose defect. A costochondral graft was harvested to obtain a columellar strut graft. Using a transcolumellar approach, the columellar strut was used to straighten the columella, raise the nose height and reconstruct the collapsed right ala of the nose. Following surgery, the nostrils and nose tip was reshaped giving the nose a sharp, pristine form that gave her face a more attractive appearance. 
Collapsed right nostril in cleft nose defect causing unpleasant appearance
Profile view showing nose defect affecting facial appearance
Columellar strut graft used to increase height of the nose through transcolumellar approach
Reconstructed nose defect enhancing appearance immediately following surgery
Improved profile view with nose reshaped and nose tip elevated giving more attractive appearance
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Successful cleft rhinoplasty and lip scar revision

17/11/2014

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A girl with unilateral cleft lip and palate previously operated elsewhere came to our hospital wanting to correct her deformed nose shape and remove the scar on her lip to enhance her appearance.

Maxillofacial Surgeon Dr. S.M. Balaji successfully performed a combined surgery to correct the lip and nose defects. Using a transcolumellar approach, a columellar strut from a rib graft, was interpositioned between lateral nasal cartilage to straighten the columella, raise the nose height and reconstruct the collapsed left ala of the nose. Thus deviated nasal tip was brought to the midline of the face. Scar on the upper lip left side was also revised. Following the surgery, the girl’s facial profile was enhanced with the reshaped nose and corrected lip scar. 
Preoperative view showing defective shape of the nose with broad asymmetrical nose tip and unsightly scar on the upper lip
Preoperative view showing deformed ala of the nose towards left side due to cleft defect
Columellar strut graft obtained from rib cartilage and interpositioned between lateral nasal cartilage through transcolumellar approach
Immediate postoperative view showing corrected ala of the nose and deviated nasal tip giving enhanced appearance
Postoperative image showing symmetrical nostrils and alar base and lip scar revision
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    Abbe Flap
    Alveolar Distraction
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    Corrective Jaw Surgery
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    Incomplete Cleft Lip
    Jaw Correction
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    Lateral Facial Cleft
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    Macroglossia
    Nose Correction
    Nose Job
    Orthognathic Surgery
    Rhinoplasty Surgery
    Scar Revision
    Smile Makeover
    Unilateral Cleft Lip

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