CORRECTION OF THE CLEFT NASAL DEFORMITY WITH AN L-SHAPED ILIAC BONE-GRAFT

We describe our technique for correcting a cleft lip nasal deformity u sing L-shaped iliac bone grafts to achieve additional structural suppo rt and the desired nasal projection and profile. Augmenting the nasal bridge creates the illusion of a narrower nose. Further, the columella r portion of the L-shaped graft provides stabilization, eliminating th e ''see-saw'' effect of the bridge graft on the fulcrum of the bony br idge, which can lead to a depressed tip and loss of the root indentati on. Clinical and radiographic observation has revealed that this metho d of correction has consistently produced satisfactory results.