Publication:

Rhinoplasty approach for cleft lip and palate patients in a public institution in Mexico

Cleft lip (CL) with or without cleft palate is a common condition in newborns, leading to significant anatomical defects and psychosocial problems. Surgical correction is crucial for improving aesthetic appearance and psychological well-being. Medical records of patients with cleft lip and palate were reviewed at a public hospital in Mexico City from March 2022 to April 2024. Preoperative and postoperative photographs were analyzed to assess aesthetic outcomes. Nine patients (5 males, 4 females) with unilateral cleft lip underwent definitive rhinoplasty, with a mean age of 17 years. Three approaches were identified: without prior secondary cheiloplasty (2 patients), with simultaneous cheiloplasty (1 patient), and following previous secondary cheiloplasty (6 patients). Costal cartilage grafts were used in 5 patients for structural support. Our study underscores the importance of combining lip and nasal corrections to enhance facial harmony. Personalized surgical plans based on the specific sequelae of primary cheiloplasty are essential for optimal results in cleft lip nasal deformity management.