Abstract Congenital craniofacial anomalies present complex reconstructive challenges impacting nasal function, facial symmetry, and psychosocial well-being. Effective restoration requires a multidisciplinary, patient-centered approach that integrates advances in imaging, surgical planning, and reconstructive techniques. This narrative review summarizes contemporary surgical strategies for nasal reconstruction in patients with cleft lip/palate and syndromic craniosynostosis. Relevant literature was reviewed alongside our own institutional experience. Focus was placed on preoperative assessment, multidisciplinary collaboration, operative timing, and technical innovations. Long-term outcomes demonstrate sustained improvements in nasal function, facial symmetry, and emotional well-being when care is provided by experienced multidisciplinary teams in dedicated units. Early psychological assessment and ongoing support are pivotal for optimizing patient outcomes. Multidisciplinary, long-term care integrating advances in imaging, reconstructive techniques, and psychosocial support improves functional, aesthetic, and emotional outcomes in nasal reconstruction in this complex group of patients.
Jama et al. (2026) studied this question.