Journal archive · Revision and secondary rhinoplasty · Rib, ear and septal grafts · Cleft, trauma and reconstruction · Anatomy and nasal analysis · 2025
Deformity and revision rates after secondary unilateral cleft lip rhinoplasty with different cartilage grafts: A systematic review and meta-analysis
Deng R, Wang Y, Zhang C, Zhen Y, Fan J, An Y.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on cleft lip rhinoplasty.
From the abstract
“Secondary unilateral cleft lip (UCL) rhinoplasty is challenging for plastic surgeons, and therefore there are still risks of complications and the need for revision. In this study, we performed a systematic review and meta-analysis for patients undergoing secondary UCL rhinoplasty to compare deformity and revision…”
Excerpt; the full abstract is on PubMed.
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Revision and secondary rhinoplasty
Between 5% and 15% of rhinoplasties are done again, and the published series say the second operation is a different problem from the first: the cartilage is gone, the skin is scarred and less able to survive, and the airway is usually part of the complaint.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Cleft, trauma and reconstruction
A cleft nose is a sequence spread across a childhood: a repair at three months, sometimes a second at five or six, and a definitive rhinoplasty once the face has finished growing.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
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