Cleft Lip Repair, Nasoalveolar Molding, and Primary Cleft Rhinoplasty

Aditi A Bhuskute; Travis T Tollefson

doi:10.1016/j.fsc.2016.06.015

Cleft Lip Repair, Nasoalveolar Molding, and Primary Cleft Rhinoplasty

Facial Plast Surg Clin North Am. 2016 Nov;24(4):453-466. doi: 10.1016/j.fsc.2016.06.015.

Authors

Aditi A Bhuskute¹, Travis T Tollefson²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA.
² Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA. Electronic address: tttollefson@ucdavis.edu.

PMID: 27712813
DOI: 10.1016/j.fsc.2016.06.015

Abstract

Cleft lip and palate are the fourth most common congenital birth defect. Management requires multidisciplinary care owing to the complexity of these clefts on midface growth, dentition, Eustachian tube function, and lip and nasal cosmesis. Repair requires planning, but can be performed systematically to reduce variability of outcomes. The use of primary rhinoplasty at the time of cleft lip repair can improve nose symmetry and reduce nasal deformity. Use of nasoalveolar molding ranging from lip taping to the use of preoperative infant orthopedics has played an important role in improving functional and cosmetic results of cleft lip repair.

Keywords: Cleft lip; Cleft palate; Cleft rhinoplasty; Nasoalveolar molding; Subunit cleft repair.

Publication types

Review
Video-Audio Media

MeSH terms

Alveolar Process / abnormalities*
Cleft Lip / surgery*
Cleft Palate / surgery*
Humans
Orthodontic Appliances*
Preoperative Care / methods*
Rhinoplasty / methods*
Surgical Flaps