Correction of Cleft Lip Nose Deformity With Circular Shape Alar Graft and Block Costal Cartilage

被引:0
作者
Zhang, Xulong [1 ]
Song, Zhen [1 ]
Xu, Yihao [1 ]
You, Jianjun [1 ]
Wang, Huan [1 ]
Zheng, Ruobing [1 ]
Tian, Le [1 ]
Guo, Junsheng [1 ]
Fan, Fei [1 ,2 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Plast Surg Hosp, Dept Rhinoplasty, Beijing, Peoples R China
[2] ChineseAcademy Med Sci & Peking Union Med Coll, Plast Surg Hosp, Dept Rhinoplasty, 33 BadachuRoad, Beijing 100144, Peoples R China
关键词
rhinoplasty; cleft lip-nose; autologous costal cartilage; BASE AUGMENTATION; RHINOPLASTY; VIABILITY;
D O I
10.1097/SAP.0000000000003582
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundSecondary deformities of the cleft lip and nose are mainly caused by the long period of craniofacial development and the secondary scarring. Correction of the secondary cleft lip-nose deformity is a complex process that requires both the correction of the soft tissue and skeletal support. The purpose of this study was to present our experience in correcting the secondary unilateral cleft lip-nose deformities with autologous costal cartilage.MethodsA retrospective analysis of patients who underwent correction of unilateral cleft nasal deformity with simultaneous rhinoplasty by a senior surgeon from January 2015 to January 2022 was conducted. Preoperative and postoperative measurements of the columellar-labial angle and the inclination of nasal base were conducted to evaluate the surgical outcomes.ResultsA total of 54 patients were included in this study according to the inclusion criteria. The mean follow-up period was 4 years (range, 1-7 years). The mean values of the columellar-labial angle were 91.1 & PLUSMN; 9.2 degrees preoperatively and 101.0 & PLUSMN; 5.9 degrees postoperatively. The mean values of the inclination of nasal base were 4.5 & PLUSMN; 1.2 degrees preoperatively and 0.9 & PLUSMN; 0.4 degrees postoperatively. There was a considerable increase in the columellar-labial angle after the surgery (9.9 & PLUSMN; 6.0 degrees; P < 0.01). The inclination of nasal base decreased significantly (3.6 & PLUSMN; 1.1 degrees; P < 0.01).ConclusionsOur approach on correction the secondary clef lip nose through repositioning the muscles by Z-plasty and application of the block cartilage graft and circular shape alar graft has achieved long-term satisfactory results.
引用
收藏
页码:78 / 83
页数:6
相关论文
共 18 条
  • [1] Alar Web in Cleft Lip Nose Deformity: Study in Adult Unilateral Clefts
    Agarwal, Rajiv
    Chandra, Ramesh
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2012, 23 (05) : 1349 - 1354
  • [2] Viability of crushed human auricular and costal cartilage chondrocytes in cell culture
    Buyuklu, Fuat
    Hizal, Evren
    Yilmaz, Zerrin
    Sahin, Feride Iffet
    Cakmak, Ozcan
    [J]. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 2011, 39 (03) : 221 - 225
  • [3] Viability of crushed and diced cartilage grafts - A study in rabbits
    Cakmak, O
    Bircan, S
    Buyuklu, F
    Tuncer, I
    Dal, T
    Ozluoglu, LN
    [J]. ARCHIVES OF FACIAL PLASTIC SURGERY, 2005, 7 (01) : 21 - 26
  • [4] Alar Base Augmentation Using Vomerine Bone Graft in Patients With Cleft Lip Nasal Deformity
    Elfeki, Bassem
    Elhussiny Khater, Amr Mohamed
    Bahaa El-Din, Ahmed Mohamed
    Shouman, Omar Ossama
    Baek, Rong-Min
    Kim, Baek-Kyu
    [J]. ANNALS OF PLASTIC SURGERY, 2020, 85 (05) : 511 - 515
  • [5] Costal Cartilage Spring Graft for Late Correction of Cleft Lip Nose Deformity: New Technique
    Erol, Onur O.
    Agaoglu, Galip
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2021, 148 (06) : 983E - 991E
  • [6] Costal Cartilage Grafts in Rhinoplasty
    Fedok, Fred G.
    [J]. CLINICS IN PLASTIC SURGERY, 2016, 43 (01) : 201 - +
  • [7] Three-Dimensional Analysis of Bilateral Cleft Lip and Palate Nasal Deformity
    Harrison, Lucas M.
    Hallac, Rami R.
    Derderian, Christopher A.
    [J]. CLEFT PALATE-CRANIOFACIAL JOURNAL, 2021, 58 (01) : 105 - 113
  • [8] Objective Measurements for Grading the Nasal Esthetics on Basal View in Individuals With Secondary Cleft Nasal Deformity
    He, Xing
    Li, Hua
    Shao, Yan
    Shi, Bing
    [J]. CLEFT PALATE-CRANIOFACIAL JOURNAL, 2015, 52 (01) : 66 - 69
  • [9] The Effects of Alar Base Augmentation in Secondary Unilateral Cleft Lip Nasal Deformity
    Kim, Yong Bae
    Nam, Seung Min
    Park, Eun Soo
    Choi, Chang Yong
    Kang, Moon Seok
    Cha, Han Gyu
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2021, 32 (02) : 525 - 529
  • [10] Primary unilateral cleft nose correction: A 10-year follow-up
    Millard, DR
    Morovic, CG
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1998, 102 (05) : 1331 - 1338