الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Cleft lip nose deformity remains a formidable challenge for any cleft surgeon. The nose is a prominent part of the face, and hence a masterly executed cleft lip repair directs the beholders’ eyes from the deformed lip to the deformed nose.
The intermediate cleft rhinoplasty refers to any nasal surgery performed after the initial cleft lip repair and before the definitive rhinoplasty performed at facial skeletal maturity. It is usually performed during the preschool age to address residual tip asymmetries during the most critical period of psychosocial development.
No universal agreement regarding the best timing for such procedure nor the preferred technique However the literature lacks enough studies about this topic
One of the techniques used for cleft rhinoplasty is the component restoration technique that relies on the idea of correction of the three major cleft lips nose components; cartilage malposition, cartilage weakness and lining deficit
This study was conducted to assess the technique, feasibility, and short-term outcome of component restoration in the unilateral intermediate cleft lip rhinoplasty by comparing
Also, The present study added a modification for the component restoration technique that was described by Ayeroff in 2019. Ayeroff used a composite cartilage graft in all patients depending on the cartilaginous part of the graft to provide strength to the infrastructure and the cutaneous part of the graft to cover the vestibular lining after lateral release of the cleft LLC.
Here, authors found out that after fine dissection of the cleft LLC from its vestibular lining it can be easily rotated upward medially and fixed in its new position leaving no or small raw area of lining that can be closed easily either primarily or using simple VY advancement as described by Potter. After that, conchal cartilage graft can be used as on-lay graft to support the weak LLC.
It was found that there is significant improvement regarding the alar symmetry (P value 0.000), and nasal tip protrusion (P value 0.004) just post-operative and up to 3 months post-operative. It was found that nostril dimensions started to show significant improvement (P value 0.049) after 3 months post-operative that may reflect the importance of follow-up and using the nostril silicon retainer
Conclusion:
The modified component restoration technique for the unilateral intermediate cleft lip rhinoplasty improves all nasal relationships regarding alar symmetry, nostril dimensions at the cleft side, and nasal tip protrusion with results persistence up to 3 months post-operative.