Primary Unilateral Cleft Nose Correction: A 10-Year Follow-up

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Primary nasal correction at the time of rotationadvancement of the lip has been rendered practical by developing a symmetrical nasal platform by presurgical orthodontics and a gingivoperiosteoplasty. The nasal correction involves unilateral columella lengthening, alar cartilage positioning, and alar base cinching to present a nose within normal limits. This is accomplished before the age of recall, and by avoiding retention of the nasal deformity through childhood, it by-passes the ridicule that invariably accompanies it. (Plast. Reconstr. Surg. 102: 1331, 1998.)

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