Characterizing Cleft Rhinoplasty Across Skeletal Maturity: A Systematic Review of Terminology and Surgical Techniques

• Published in: The Cleft palate-craniofacial journal 2024-08, Vol.61 (8), p.1315-1323
• Main Authors: Park, Jenn J., Laspro, Matteo, Arias, Fernando D., Rodriguez Colon, Ricardo, Chaya, Bachar F., Rochlin, Danielle H., Staffenberg, David A., Flores, Roberto L.
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Child, Preschool; Cleft Lip - surgery; Cleft Palate - surgery; Humans; Infant; Jargon; Nose - abnormalities; Nose - growth & development; Nose - surgery; Rhinoplasty; Rhinoplasty - methods; Surgical techniques; Systematic review; Terminology as Topic
• ISSN: 1055-6656; 1545-1569; 1545-1569
• DOI: 10.1177/10556656231169479

Objective The purpose of this study is to assess cleft rhinoplasty terminology across phases of growth. Design/Setting A systematic review was performed on cleft rhinoplasty publications over 20 years. Interventions Studies were categorized by age at surgical intervention: infant (15 years). Main Outcome Measures Collected data included terminology used and surgical techniques. Results The 288 studies included demonstrated a wide range of terminology. In the infant group, 51/54 studies used the term “primary.” In the immature group, 7/18 studies used the term “primary,” 3/18 used “secondary.” In the mature group, 2/33 studies used the term “primary,” 16/33 used “secondary,” 2/33 used “definitive,” 5/33 used terms such as “mature,” “adult,” and “late,” and 8/33 did not use terminology. Surgical technique assessment demonstrated cleft rhinoplasty at infancy used nostril rim or no nasal incision, immature rhinoplasty used closed and open rhinoplasty incisions; and mature rhinoplasty used a majority of open rhinoplasty. Infant and immature cleft rhinoplasty incorporated septal harvest or spur removal in