Rhinoplasty for cleft lip and palate related nasal deformity
The patient is a young woman who had been born with a left sided cleft lip and palate. She underwent cleft lip repair surgery elsewhere as an infant.
Past surgical history of the patient
She has undergone alveolar bone grafting and orthodontic treatment here at our hospital. A LeFort 1 maxillary advancement surgery was also done here. She now presents for rhinoplasty for correction of her nasal deformity. This is her final surgery.
Rib grafts used to correct the nasal deformity
Under general anesthesia, Dr SM Balaji harvested two costochondral rib grafts. A Valsalva maneuver demonstrated absence of perforation into the thoracic cavity. The incision was then closed in layers. Rib grafts were then crafted into the right size and shape.
Following this, bilateral intranasal incisions were then made. The nasal bone was next fractured and then set right to correct the deviation in the nasal septum. The cartilaginous grafts were next positioned through the incisions and stabilized with sutures. This resulted in reestablishment of nasal symmetry.
The patient and her parents were very happy with the results of the surgery. They expressed this to Dr SM Balaji before discharge from the hospital.