The correction of secondry cleft lips and nasal deformities often presents an extremely difficult plastic surgical problems. During the past century, the primary repair of cleft lips has received much considerations and there has been outstanding development in this field. However, the majority of these patients require correction later of secondary labial and nasal deformities of varing severity.
Many factors are employed to secondary deformity, improper surgical method and skill, excessive trauma to the tissue and post-operative inflammation, other inadequate post-operative care or the hypertrophic scar, are included. With the patient’s growing and development, underdevelopment of the maxilla is progressed and it accentuate the cleft lip and nasal defomities.
Deformities commonly seen are irregular mucontaneous border, lateral poucking, notching of the lip border and flaring, flattening and asymmetry of the nostril with or without hypoplasia of the maxilla, and distortion due to hypertrophic scars and inert scar.
Satisfactory function cannot be achieved and satisfaction cannot be achieved and satisfactory appearance cannot be formed and maintained without correct anatomical reconstruction of the involved parts. Disfigurement caused by all these secondary deformities tend to produce considerable embarrassement, profound psychic disturbances and socioeconomic problems. Thus, the correction of the secondary cleft lip and nasal deformities make the plastic surgeon endeaver to study.
We experienced 53 cases of various secondry deformities with correction with varing method. Gennerally, cosmetic and functional improvement is obtainable in these cases satisfactorily. So, We introduces them with literature reports.
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