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The nasal deformity in the cleft lip patient is produced by the lower lateral cartilage being subluxed inferiorly and laterally, which falsely lengthens the nose on the cleft side. The columella is not short. It simply extends laterally to a dipped area in the rim of the nostril. The cleft lip nasal deformity is correctable at the time of primary lip repair by advancing the lower lateral cartilage superiorly and medially. The correction will last with the cartilage fixed to the upper lateral cartilage-septal junction, its normal position. A deficient repair will not improve. A good repair will last, will not interfere with growth of the nose, and will free the patient from years of unnecessary embarrassment . Correction of the cleft lip nasal deformity in the adult requires repositioning of the lower lateral cartilage similar to what can be and should be done in the infant.
T R Broadbent, and
R M Woolf
July 2009,
Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India,
T R Broadbent, and
R M Woolf
February 1965,
Plastic and reconstructive surgery,
T R Broadbent, and
R M Woolf
January 1986,
Facial plastic surgery : FPS,
T R Broadbent, and
R M Woolf
May 2000,
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association,
T R Broadbent, and
R M Woolf
July 1976,
The Cleft palate journal,
T R Broadbent, and
R M Woolf
August 1964,
Plastic and reconstructive surgery,
T R Broadbent, and
R M Woolf
November 2002,
Facial plastic surgery : FPS,
T R Broadbent, and
R M Woolf
September 2007,
Revue de stomatologie et de chirurgie maxillo-faciale,
T R Broadbent, and
R M Woolf
February 1984,
Annals of plastic surgery,
T R Broadbent, and
R M Woolf
March 2000,
The Journal of laryngology and otology,
