Case report: Two cases of Cleft rhinoplasty

Hanane El Adak; Imane El Aissaoui; Otmane Taybi; Nada Imane Daghouri; Adil Dehhaze

doi:10.30574/wjarr.2024.24.1.3083

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Case report: Two cases of Cleft rhinoplasty

Hanane El Adak ^{1, 2, *}, Imane El Aissaoui ^{1, 2}, Otmane Taybi ^{1, 2}, Nada Imane Daghouri ^{1, 2} and Adil Dehhaze ^{1, 2}

¹ Department of Burns and Plastic Surgery, Mohammed VI University Hospital, Tangier Morocco.

² Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Saadi University, Morocco.

Research Article

World Journal of Advanced Research and Reviews, 2024, 24(01), 870-876

Article DOI: 10.30574/wjarr.2024.24.1.3083

DOI url: https://doi.org/10.30574/wjarr.2024.24.1.3083

Publication history

Received on 02 September 2024; revised on 06 October 2024; accepted on 09 October 2024

Abstract

The correction of cleft lip nose deformity remains a great challenge for any cleft surgeon. The nose is a prominent part of the face, and any cleft lip repair directs the beholders’ eyes from the deformed lip to the deformed nose,

Controversies exist on the timing of rhinoplasty in cleft lip patients and is categorized as primary rhinoplasty performed at the time of cleft lip repair, intermediate rhinoplasty at the age of 5–11 years and definitive rhinoplasty.

This article presents two cases of unilateral nasal cleft in two adults treated by secondary rhinoplasty using an open technique.

The primary deformity is an imbalance between abnormal muscle insertion and maxillary skeletal hypoplasia. The general characteristics of this deformity are a very short columella, downward rotation of the tip and diminished nasal projection, and treatment of this depressed and hypoplastic bony scaffolding is the secret to successful secondary rhinoplasty.

Proponents of delayed nasal repair suggest that altering the cartilages in early nasal repair at the time of lip repair would complicate future corrective nasal surgeries if the primary repair would prove unsatisfactory. However, we know that repositioning the wing cartilage at the same time as closing the lip respects nasal growth by using a rigorous technique and control of scars

The aim of cleft lip rhinoplasty is both aesthetic and functional: to obtain a normal nose with nasal breathing.

Keywords

Cleft; Lip; Surgery; Rhinoplasty

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Hanane El Adak, Imane El Aissaoui, Otmane Taybi, Nada Imane Daghouri and Adil Dehhaze. Case report: Two cases of Cleft rhinoplasty. World Journal of Advanced Research and Reviews, 2024, 24(1), 870-876. Article DOI: https://doi.org/10.30574/wjarr.2024.24.1.3083

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Case report: Two cases of Cleft rhinoplasty

Hanane El Adak ^{1, 2, *}, Imane El Aissaoui ^{1, 2}, Otmane Taybi ^{1, 2}, Nada Imane Daghouri ^{1, 2} and Adil Dehhaze ^{1, 2}

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Case report: Two cases of Cleft rhinoplasty

Hanane El Adak 1, 2, *, Imane El Aissaoui 1, 2, Otmane Taybi 1, 2, Nada Imane Daghouri 1, 2 and Adil Dehhaze 1, 2

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Issue details

Hanane El Adak ^{1, 2, *}, Imane El Aissaoui ^{1, 2}, Otmane Taybi ^{1, 2}, Nada Imane Daghouri ^{1, 2} and Adil Dehhaze ^{1, 2}