Closed Rhinoplasty for Cleft Nasal Deformity Correction
The cleft lip and palate defect is the most common congenital deformity of newborns. It occurs in 1 out of every 8000 live births. There is also a regional or racial predilection to this deformity. It is most common among Native Americans and least common in oriental people.
This deformity can range from the mild to the very severe. The mildest form of this deformity manifests itself as a unilateral notch on the lip. When very severe, it involves bilateral lip and palate with a free floating premaxilla.
Back in the olden days, it was considered to be a curse of the divine. Children born with this deformity were considered to be the spawn of Satan. They were most often abandoned outside the towns and villages and rarely survived.
It was the dawn of the scientific era that enlightened mankind. Many disease processes were explained and understood by scientific thought. What was thought to be evil soon became normalized through treatment.
Nose correction surgery was amongst the first cosmetic procedures performed. Sushruta, the father of surgery, has documented cases of nose correction surgery. The techniques involving nose correction surgery are highly advanced at present.
Surgical techniques have advanced with the passage of time. It has now reached the point that the cosmetic deformity is completely corrected through surgery. Children born with such deformities now get to lead a completely normal life.
Cleft nose rhinoplasty can be classified as a nose job performed by plastic surgeons. Plastic surgery is the specialty that deals with manipulation of soft tissue, bone and cartilage for esthetics. Nasal tip augmentation is an integral part of cleft rhinoplasty surgery.
The shape of the nose is dramatically improved by rhinoplasty surgeons. Reshaping the nose to obtain a perfect shape of the nose is technique sensitive. Performed under general anesthesia, postop care is essential during the recovery time.
Surgical procedures involving nasal surgery is performed by rhinoplasty surgeons. Reshaping the nose and correcting the deviated septum also corrects breathing problems. The patient has to be very careful for a few weeks after surgery.
An experienced surgeon often provides the best results from cosmetic rhinoplasty. The form and function of the nose is very important for overall facial esthetics.
Certain schedules are advised to obtain the best possible results. Cleft lip surgery is best performed at the age of 1-1/2 months. The ideal time for cleft palate correction is 10 months of age. Cleft alveolus correction is ideally performed at 4-1/2 years old.
Other surgeries include speech correction surgery or pharyngoplasty. This is normally performed at around the age of 10. There is dramatic improvement in the quality of speech following this surgery.
Many other surgeries are often performed before full rehabilitation of the cleft defects. These include rhinoplasty or nose job for nasal correction and upper jaw surgery. Extensive fixed orthodontics is also required in conjunction with the surgeries.
A closed rhinoplasty is performed for correction of minor nasal deformities. An open rhinoplasty is required for gross deformities. Experienced surgeons can performed closed rhinoplasty even for greater deformities.
The cost of a nose job in India is a fraction of what it costs in developed nations. It is the cost of nose job in India that drives Westerners to our nation for rhinoplasty. The quality of treatment is very good through the cost of nose job in India is relatively low.
This young man was born with a unilateral cleft lip and palate deformity. He had undergone surgical correction of his cleft deformities as an infant. His residual nasal deformity has been affecting him for a few years now.
He stated that he had faced bullying by peers during his school days. The patient is now in college and is pursuing Aeronautical Engineering. Desiring to undergo corrective surgery, he had approached his parents.
They had conducted exhaustive research regarding the best rhinoplasty hospital in India. This had been through both their professional contacts as well as through the Internet. They had finally zeroed in on our hospital for management of his deformity.
Dr. SM Balaji of Balaji Dental, Craniofacial Hospital & Research center is a world renowned rhinoplasty and cosmetic surgeon. He has over 30 years of experience in handling complex cases.
His parents had contacted the hospital and fixed an appointment. Initial examination had been conducted and a detailed treatment plan presented. The patient now presents for closed rhinoplasty for correction of his cleft nasal deformity.
A costal cartilaginous graft was harvested at the commencement of the surgery. Attention was then turned to the nasal deformity. The graft was crafted and tunneled to the bridge of the nose. This resulted in a nasal bridge augmentation with creation of a straight profile.
The lower cruces of his lateral cartilages were then excised. There was very good correction of his nasal deformity following his surgery. The patient stated that there was improved function and esthetics after the closed rhinoplasty.
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