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KMID : 0952820220250020052
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Journal of Korean Cleft Lip & Palate Association
2022 Volume.25 No. 2 p.52 ~ p.57
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Restoration of Nasolabial Volume Using Implants and Secondary Cleft Rhinoplasty in a Patient with Unilateral Cleft Lip and Palate: A Case Report
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Kang Ji-Yeon
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Abstract
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Facial asymmetry with nasal deformities in patients with unilateral cleft lip and palate mayremain even after primary cheiloplasty with cleft rhinoplasty due to the cleft expressionseverity, genetically programmed maxillary growth deficiency, and the use of surgicalcorrection techniques. It can be corrected by performing definitive cleft rhinoplasty whenthe nasal skeleton growth is complete; however, achieving satisfactory results is difficult.
In this case, the fundamental approach was used due to the absence of hard tissue supportcaused by anatomical defects. Porous polyethylene implants were used to raise the paranasaland subnasal bases by replacing the missing marginal contour of the piriform aperture,which improved the outcomes of cleft rhinoplasty. Synthetic facial implants have been usedas an alternative to autologous augmentation in various situations. In patients with cleftdeformities, facial implants can be a good option for the esthetic enhancement of asymmetryand volume deficiency.
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KEYWORD
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Unilateral cleft rhinoplasty, Secondary cleft nasal deformity
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