1 month after cleft rhinoplasty and scar revision. Main goals Breathe better Appear more symmetric Refine the tip The septum tends to follow the cleft palate posteriorly, blocking the nasal passage on that side. Anteriorly, the septum is usually pulled to the noncleft side by an imbalance of muscle attachments to the caudal septum. Resetting/resecting the septum helps improve those … Read More
Here, septoplasty, multiple grafts (spreader, lateral crural strut, septal extension, and tip), all work together to provide a more symmetric and projected framework.
Septorhinoplasty is usually the final surgery for a patient born with a cleft lip. A few things combine to create common complaints 1) Inherently different/less growth potential 2) Asymmetric and/or abnormal attachments of muscles and ligaments 3) Bony asymmetries 4) Scar tissue 5) Abnormal blood and lymphatic flow These inevitably lead to problems breathing, and often thick and scarred nasal … Read More
Here, the upper jaw required greater than 10mm of advancement to correct his occlusion.
The timing and techniques used for our patients with clefts are tailored to each patient. Here, the upper jaw required greater than 10mm of advancement to correct his occlusion. Thus, we performed a Le Fort 1 internal distraction: the maxilla was mobilized, and hardware placed to gradually bring the bone and teeth forward 0.5mm at a time. This incremental movement … Read More
Cleft rhinoplasty for adults – one of the tougher surgeries we do, but also one of the most rewarding.
“I’m actually breathing on both sides now. It’s incredible to be able to do that. “The amount of symmetry on both sides that you were able to achieve really impressed me. “I’m very, very happy with the results.” Cleft rhinoplasty for adults – one of the tougher surgeries we do, but also one of the most rewarding. Here, a previous … Read More
Being able to breathe through your nose depends on enough room through the nose, into the throat, and down into the lungs.
Being able to breathe through your nose depends on enough room through the nose, into the throat, and down into the lungs. There must also be enough strength to keep the walls from collapsing in. Here, the biggest problems were blockage by a deviated septum, and scar tissue from a lifetime of previous cleft surgeries. The scar tissue can be … Read More
This patient can breathe like never before! She has had several previous surgeries on her nose by other surgeons. Unfortunately, she had severe nasal obstruction and apnea.
This patient can breathe like never before! She has had several previous surgeries on her nose by other surgeons. Unfortunately, she had severe nasal obstruction and apnea. She also hoped for improved nasal symmetry. We performed an open cleft rhinoplasty, including release of scar tissue and reconstruction with multiple cartilage grafts (spreader, septal extension, columellar strut, lateral crural strut, and tip grafts). MTF … Read More
Correction of the deviated septum – and use of the septal cartilage grafts to the dorsum and cleft side of the ala – greatly improved his breathing.
This young man has done very well with his history of cleft lip and palate surgeries throughout childhood, and he came to us for his cleft rhinoplasty. First and foremost, he had difficulty breathing because of a deviated septum. From the front you can see a slight deviation of the bridge of his nose extending to the tip. As it … Read More
I performed an open rhinoplasty, with straightening of his septum and use of the septal cartilage along with ear cartilage to straighten and support his nose.
This young man has a history of a cleft lip and palate, with septal deviation and nasal collapse. I performed an open rhinoplasty, with straightening of his septum and use of the septal cartilage along with ear cartilage to straighten and support his nose. His breathing and symmetry is already much improved at 1 week after removal of his … Read More
For patients with a history of a pharyngeal flap, these may actually be divided and revised after several years, usually with no change in speech and nasality
This athlete couldn’t breathe, with a history of a fractured and deviated septum, and a pharyngeal flap previously used to help speech for her cleft palate. For patients with a history of a pharyngeal flap, these may actually be divided and revised after several years, usually with no change in speech and nasality, but with much improved breathing and speech. … Read More
Correction of the deviated septum, and use of the cartilage for grafts to buttress the airway, helped to improve his nasal symmetry and ease of breathing.
This man had a history of a cleft lip and a lifetime of difficulty breathing through his nose. The septum (or wall between the two nostrils) is deviated away from the cleft, and the cartilage on the cleft side is usually smaller and weaker. Correction of the deviated septum, and use of the cartilage for grafts to buttress the airway, … Read More
Septoplasty and spreader grafts, with tensioning of the upper lateral cartilages over the grafts, helped his breathing.
This man is breathing well at 7 weeks after his cleft rhinoplasty and fat grafting to his upper lip. Septoplasty and spreader grafts, with tensioning of the upper lateral cartilages over the grafts, helped his breathing. This is like having an internal Breathe Right strip people use for snoring and nasal collapse. His contour and projection match his face well, … Read More
Open rhinoplasty was performed, with release of the old scar tissue, and multiple cartilage grafts from his septum
This handsome man had severe nasal obstruction and nasal asymmetry, with collapse and less growth of the left side of his nose. He also had a notch of his upper lip with some irregular scar texture. Open rhinoplasty was performed, with release of the old scar tissue, and multiple cartilage grafts from his septum used to support his collapsed nasal … Read More