Nasal deformity remains a major problem for the patient with repa´red cleft lip. Despite the incorporation of nasal repair techinques into some methods for primary cleft lip repair, the need for secondary nasal revision remains. Numerous methods of rhinoplasty have been proposed for cleft lip nose deformity, and the _ list is growing every year. This testifies to the complexity of the problem, and to the necessity of further improving surgical techniques. No single procedure which has been developed. to date has given sufficiently good results to provide a standard approach to the prob lem of the cleft lip nose deformity. The surgical approach is dictated by the degree of deformity, so the plastic surgeon must be familiar with the wide range of available methods in order to choose the appropriate procedure for each individual patient´s deformity.
However, no matter how varied the deformities, as pointed out by Lindsay and Farkas the common denominator is the malposition of the nostril on the affected side. Therefore, a major goal is to make the nostrils symmetrical. To achieve this, an attempt is first made to correct the alar cartilage, which is the framework of the nostril. Next, the surgeon has to correct the position of the alar base (usually misplaced downards and laterally), as well as that of the sunken nostril floor.
Authors corrected four unilateral cleft lip nose deformities by suture fixation of the alar cartilage with reverse-U incision of Tajima with good result.
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