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Surgery

Babies born with a cleft will need repair surgery to close the gap left by the tissue not coming together in the womb. Usually, a cleft lip will be repaired at 3-6 months a cleft palate will be repaired at 10-18 month.

One or more follow up procedures may be needed once the lip and/or palate repairs have healed including:

Additional surgery to help with speech(pharyngoplasty). When the gum is involved, Alveolar Bone Graft procedure at 7-12 years may be needed. Teenagers may also need:

  • Rhinoplasty to change the shape and/or function of nose
  • Restorative dental surgery, such as implants, to improve the appearance of missing or misshapen teeth.

Our Techniques

  • Gujrat Technique For Cleft Nose Reconstruction
m riaz

Dr. Riaz

Head of surgery dept

Gujrat Technique

“Cleft nose is a complex deformity which is present in children born with cleft lip or cleft lip and palate. There is asymmetry of development of upper jaw bone. Cleft lip and palate are repaired in the early months of the child’s age. In some techniques the nasal deformity is also corrected but in most of the patients the nasal deformity is corrected at or after puberty when the bony development is complete. These children have nasal blockage and severe nasal deformity due to malposition of nasal septum and hypoplasia and weakness of cleft side nasal cartilages.

 

There are various techniques available to correct this deformity.

 

Mr Riaz has been going over the years, twice a year, to Gujrat in Pakistan to help children with cleft lip and palate. He has developed a technique of cleft nose correction based on the principles of aesthetic rhinoplasty or “nose job”. This technique addresses the asymmetry of nasal platform which rests on upper jaw bone and also reconstructs the deficient cartilaginous framework. The nasal blockage to improve breathing is also addressed with this technique.
Mr Riaz has helped hundreds of patients treated in the Cleft Hospital, Gujrat, Pakistan and also this technique has helped patients in the UK. Details of the procedure and before and after photographs are included in the section of nasal surgery.

Tajima Technique

Before

Before

Post

Post

After few years

After few years

Complicated Cases

Case I: Abdul Naveed
Before

Before

After

After

Case II: Zain Ali
Before

Before

After

After

Rhinoplasty

“A well mended harelip would pass unnoticed at a cocktail party are it not for the nose” (Gillies, 1966). Without an intervention to correct the nasal deformity in a unilateral complete cleft lip nasal deformity, nasal architecture can progress to an exaggerated deformity. We present the results of a modified unilateral cleft rhinoplasty procedure, “The Gujrat Approach”, to correct this deformity.

Before

Before

After

After

Before

Before

After

After