Comprehensive rhinoplasty technique to correct the bilateral cleft lip nasal deformity using conchal composite grafts

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Wayne OzakiBernard L Markowitz

Abstract

Anatomical abnormalities and heterogeneous tissue deficiencies of the bilateral cleft lip nasal deformity challenges the cranio-maxillofacial plastic surgeon to create a functional, yet aesthetically pleasing nose. The authors propose a comprehensive rhinoplasty technique to correct the bilateral cleft lip nasal deformity using composite conchal grafts. Five children with bilateral cleft lip nasal deformities had nasal reconstruction using conchal composite grafts, averaging 5 years in age at time of surgery. Patient follow-up averaged 21 months. An open tip rhinoplasty was performed using a 'V' shaped columellar incision. The conchal composite graft was obtained from the lateral aspect of the ear and was used to reconstruct the lateral alar mucosal defects. Conchal cartilage was used as a columellar strut. The columellar skin was closed in a 'V-Y' fashion, giving greater columellar length. Visual inspection confirmed that the cleft lip nasal deformity was improved in all patients. There were no postoperative complications. All patients had complete composite graft take with minimal donor site morbidity and deformity. This comprehensive rhinoplasty technique improves the abnormalities found in bilateral cleft lip nasal deformit...Continue Reading

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Citations

Mar 25, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kamuran Zeynep SevimSelami Serhat Sirvan
Apr 27, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Fuat BuyukluOzcan Cakmak
May 13, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Maurice Y Mommaerts, Krisztián Nagy
Mar 19, 2008·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Franco Carlino
Jan 3, 2019·Plastic and Reconstructive Surgery·Julia R AyeroffJustine C Lee
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Hiromu MasuokaShigehiko Suzuki
Oct 8, 2009·American Journal of Rhinology & Allergy·Nam-Kyung Yeo, Yong Ju Jang
Dec 29, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Angel D PaganBrian T Andrews
Aug 17, 2021·Plastic and Reconstructive Surgery·Brian N DangJustine C Lee

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