Characteristics of septoplasty in patients following unilateral cleft lip and palate repair

Abstract

Relevance. Postoperative scarring from primary and secondary cheilorhinoplasty procedures often results in impaired nasal breathing and aesthetic deformities. Objective: To enhance regeneration of damaged nasal mucosa and prevent recurrent nasal breathing dysfunction caused by secondary scarring and septal displacement during septoplasty, through the use of protective concealment.

Description of clinical case. This article presents a clinical case of surgical treatment in a patient diagnosed with "Congenital complete left-sided cleft of the upper lip, alveolar process, hard and soft palate; status post cheilorhinoplasty and uranostaphyloplasty; deviated nasal septum; and cicatricial deformity of the skin-cartilaginous portion of the nose on the left." After undergoing multiple surgical interventions, the patient displayed a flattened left nasal wing, functional impairments in nasal breathing, and dissatisfaction with the aesthetic appearance of the nose.

Conclusion. Using a platelet-rich plasma membrane during septoplasty can help prevent nasal cicatricial deformities, significantly reducing the risk of postoperative nasal deviations and breathing impairments, ultimately benefiting patient outcomes.