Author(s)

Enrique Hernandez Vidal^1*, Enrique Hernandez Del Moral¹, Omar Hernandez Del Moral¹, Erick Daniel Hernandez Del Moral¹, Juan Daniel Madera Brito¹, Erik Ramos Garcia¹, Crystell Guadalupe Guzmán-Priego²

¹Institute of High Specialty in Ear, Nose, Throat and Surgery of Head and Neck, Villahermosa, Mexico.
²Cardiometabolism Laboratory, Academic Division of Health Sciences, Juarez Autonomous University of Tabasco, Villahermosa, México.

Various surgical techniques and approaches have been described to repair cleft nose deformities. It is necessary to consider that since it is a congenital deformity, surgical management must consider the patient’s growth process, as well as the healing itself from the surgery. The present study aims to evaluate an alternative solution to secondary rhinology, aesthetic, and functional alterations to unilateral or bilateral cleft lift palate to minimize deformities and ensure good results. 11 patients were studied between 1995 to 2002, ten male and one female. In 8 cases, the patients had a history of cleft lip and palate on the left side, 2 patients with cleft lift palate on the right, and 1 patient with bilateral cleft lip and palate. 100% of the patients increased their naso-labial angle. This improved their appearance and structure, starting from a preoperative arithmetic mean of 39 degrees to a postoperative arithmetic mean of 96 degrees. Such intervention increased the naso-labial angle by 57 degrees. At the base of the nose, it was possible to improve the inclination of the alar line (line B) in 10 of the cases with a variation of 2 to 3 mm in relation to the perpendicular line A and only one case remained with the same inclination.

Cleft Lip and Palate, Naso-Labial Angle, Inclination, Appearance

Vidal, E.H., Moral, E.H.D., Moral, O.H.D., Moral, E.D.H.D., Brito, J.D.M., Garcia, E.R. and Guzmán-Priego, C.G. (2023) Rhino-plasty in Cleft Lip and Palate. Case Re-ports in Clinical Medicine, 12, 439-446. https://doi.org/10.4236/crcm.2023.1211059