[Correction of nasal deformity in unilateral cleft lip of adult cases].

OBJECTIVE: Nasal deformities are very common in unilateral cleft lip cases. They are morphology of alar collapse, nasal floor depression and deviation of the septum. METHODS: Our operation procedure includes correction and replacement of the septum to the middle position, mobilization and suspension of the displaced alar cartilage and use of a "C" flap, nasal sill flap or a flap of the lip scar tissue to increase the length of columella on the cleft side. An implant or autograft of suitable size is placed, if necessary, in the nasal bridge or/and the nasal floor. RESULTS: Postoperative follow-up for 1-12 months showed that the results are satisfactory. CONCLUSIONS: Correction of septum deformity, and increase of the length of the columella on the cleft side are important. An extensive mobilization and reposition of the alar cartilage must be done for obtaining a symmetric nasal projection. If necessary, a fine implant or self-tissue is placed in the nasal bridge and nasal floor, which would make the result much better.