Cleft Nasal Deformity

The deformity of the nose is related to the separation of the lip and/or palatal elements – the wider the cleft, the more severe the associated nasal deformity. There is little functional concern, but the deformity can be quite noticeable.

Diagnosing a Cleft Nasal Deformity

The diagnosis of a cleft nasal deformity as part of the lip and/or palate may be made before the baby is born on routine sonogram as early as 18 weeks of pregnancy. Otherwise, this condition can be detected after the baby is born by a simple inspection of the nose. It can sometimes be associated with other medical conditions as part of a syndrome, which may require additional treatment. Mount Sinai has the oldest cleft team in the metropolitan area with extensive experience in the care of patients with a cleft nasal deformity.

Cleft Nasal Treatment

Improvement in the appearance of the nose may be performed at various times. The cleft side is elevated and the two sides are brought closer together to improve the symmetry. This may require borrowing cartilage from other sites to augment the cleft side. The incision across the skin between the two nostrils heals very well. The procedure takes a couple of hours and in most children and adults can be done as an outpatient procedure. Thereafter, office follow-up is more routine to monitor the healing. Mount Sinai's surgeons have particular knowledge and skill in the repair of the cleft nasal deformity.

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