The correction of cleft lip nasal deformity is challenging and there have been numerous methods described in the literature with\nlittle demonstrated technical superiority of one over another.The common clinical issues associated with cleft lip nasal deformity\nare its lack of symmetry, alar collapse on the affected side, obtuse nasal labial angle, short nasal length, loss of tip definition, and\naltered columella show among others. We carried out augmentation of cleft lip rhinoplasties with rib graft in 16 patients over the\none-year study period. Each of these patients was reviewed and given questionnaire before and after surgery to evaluate their\nresponse on the outcome to the approach. Preoperatively, nasal asymmetry is the main complaint (14/16, 87.5%) among our series\nof patients. Postoperatively, 12 (75%) patients out of the 16 reported significant improvement in their nasal symmetry with the other\nfour marginal. All patients reported excellent nasal projection postoperatively with good nasal tip definition. Our series of patients\nreported overall good satisfaction outcome and will recommend this procedure to other patients with cleft lip nasal deformity. In\nconclusion, augmentation of cleft lip rhinoplasty can be employed to achieve perceivable and satisfactory outcome in patients with\ncleft lip nasal deformity.
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