From the Division of Facial Plastic and Reconstructive Surgery, Oregon Health Sciences University, Portland. Dr Madorsky is now in private practice in Orange, Calif, and with the Department of Otolaryngology–Head and Neck Surgery, the University of California, Irvine.
The secondary nasal deformity of the unilateral cleft lip involves a retrodisplaced dome of the ipsilateral nasal tip, hooding of the alar rim, a secondary alar-columellar web, and other deficiencies. The sliding-flap cheilorhinoplasty effectively corrects these deformities using a laterally based chondrocutaneous flap. We modified this technique by using an open rhinoplasty approach with the laterally based chondrocutaneous sliding flap. Columellar struts and shield grafts were some of the techniques combined with this approach to produce optimal results. In a total of 7 patients, we performed both the original sliding-flap cheilorhinoplasty and the modified open rhinoplasty, which are described and discussed herein. The laterally based sliding-flap cheilorhinoplasty is an effective technique for correcting both the secondary nasal deformity and the lip scar associated with the unilateral cleft lip.
Wang TD, Madorsky SJ. Secondary Rhinoplasty in Nasal Deformity Associated With the Unilateral Cleft Lip. JAMA Facial Plast Surg. 1999;1(1):40-45. doi:10.1001/archfaci.1.1.40