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Management of the Cleft Nasal Tip: An Overview of Classic Techniques and Strategies

Nicksic, Peter, J., BA; Pfaff, Miles, J., MD, MHS; Ayeroff, Julia, R., BA; Lee, Justine, C., MD, PhD

doi: 10.1097/SAP.0000000000001334
Review Papers

The challenges of cleft reconstruction have been present for centuries. However, understanding of the cleft nasal tip and the evolution of techniques decidedly began in the 20th century and refinement continues into the present day. Although a multitude of technical descriptions and case series have been published, a compendium of seminal techniques, which have shaped modern thought, has not been compiled in the literature. In this review, we discuss the anatomical disturbances in the cleft nasal tip anomaly, the timing and strategy of tip correction, and the major classic techniques for management of the cleft nasal tip. In addition, we have categorized the classic techniques into concepts that they embody.

From the Division of Plastic and Reconstructive Surgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA.

Received September 11, 2017, and accepted for publication, after revision November 16, 2017.

Conflicts of interest and sources of funding: All authors have no financial interests including products, devices, or drugs associated with this article. There are no commercial associations that might pose or create a conflict of interest with information presented in this submitted article such as consultancies, stock ownership, or patent licensing arrangements. All sources of funds supporting the completion of this article are under the auspices of the University of California Los Angeles. This work was supported by the Bernard G. Sarnat Endowment for Craniofacial Biology (J.C.L.) and the Jean Perkins Foundation (J.C.L.). J.C.L. is additionally supported by the US Department of Veterans Affairs under award number IK2 BX002442-01A2.

Reprints: Justine C. Lee, MD, PhD, Division of Plastic and Reconstructive Surgery, University of California Los Angeles, 200 Medical Plaza, Suite 465, Los Angeles, CA 90095-6960. E-mail:

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