ABSTRACT
The earliest comprehensive anatomical descriptions of the cleft nasal deformity belong to Huffman and Lierle (1)and were presented at a time when attention to the cleft nasal deformity was essentially limited to alar base repositioning. Dissection of the nasal complex itself was avoided because of concerns regarding growth disturbances. However, long-term work presented by McComb (2,3), Salyer (4), Boo-Chai (5),and Ortiz-Monestario (6) suggested that concerns about growth inhibition were overstated and that improved nasal form and symmetry were possible with primary cleft nasal repair. The following discussion describes the anatomical deformity of the unilateral and bilateral cleft nasal deformities and their management.
