The Spectrum of Isolated Congenital Nasal Deformities Resembling the Cleft Lip Nasal Morphology [Original Article]

Arch Facial Plast Surg May/Jun 2011 2011;13(3):152-160. Travis T. Tollefson, MD; Clinton D. Humphrey, MD; Wayne F. Larrabee Jr, MD; Robert T. Adelson, MD; Kian Karimi, MD; J. David Kriet, MD

Author Affiliations: Divisions of Facial Plastic and Reconstructive Surgery, Departments of Otolaryngology–Head and Neck Surgery, University of California, Davis, Medical Center, Sacramento (Dr Tollefson), Otolaryngology–Head and Neck Surgery, University of Kansas School of Medicine, Kansas City (Drs Humphrey and Kriet), and Otolaryngology, University of Florida, Gainesville (Drs Adelson and Karimi); and The Larrabee Center, Seattle, Washington (Dr Larrabee). Objective To define the intrinsic (hypoplasia) and extrinsic (deformational) contributions to congenital nasal deformities and the potential of a carrier state for orofacial clefting.

Methods Retrospective case series.

Results The factors affecting 4 congenital nasal deformities are postulated after contrasting the patient's characteristics.

Conclusions The spectrum of congenital nasal deformities includes those that resemble the cleft lip nasal deformity, but careful inspection is needed for proper classification. Classifying congenital nasal deformities can be difficult in part due to the highly variable normal range. The most minor form of the typical unilateral cleft lip nasal deformity is the microform cleft. The potential of an isolated cleft lip nasal deformity without obvious cleft lip has been previously suggested to represent a carrier state for orofacial clefting. Definitive genetic studies and continued anthropometric documentation in relatives of patients with orofacial clefts are needed if we are to uncover previously unidentified associations, and a potential carrier state.

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Evolution in Nasal Tip Contouring Techniques: A 10-Year Evaluation and Analysis [Research Letters]

Arch Facial Plast Surg May/Jun 2011 2011;13(3):217-219. Ali Sepehr, MD; Nitin Chauhan, MD; Ashlin J. Alexander, MD; Peter A. Adamson, MD, FRCSC

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, University of Toronto, Toronto, Ontario, Canada.

Since this article does not have an abstract, we have provided the first 150 words of the full text.

To our knowledge, there has been no formal statistical evaluation of the trends of nasal tip management in rhinoplasty. Our first objective was to evaluate the changing trends in septorhinoplasty techniques for nasal tip contouring, within a single-surgeon, private facial plastic surgery practice. Our second goal was to determine if this change in techniques has led to improvement in outcomes.

We performed a retrospective medical chart review consisting of 2 groups of 50 consecutive patients who had undergone rhinoplasty. The 2 groups spanned a 10-year period, one from 1999 and the other from 2008. The study took place at a private facial plastic surgery practice with a focus on rhinoplasty, recognized as a center for revision rhinoplasty referral, in a major metropolitan area. Data collection included patient demographics and types of tip-plasty maneuvers performed. These techniques were categorized as either (1) reductive maneuvers or (2) stabilizing and strengthening maneuvers. The …

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