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Comprehensive rhinoplasty technique to correct the bilateral cleft lip nasal deformity using conchal composite grafts.
J Craniomaxillofac Surg. 2006 Apr; 34(3):150-5.JC

Abstract

INTRODUCTION

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.

PATIENTS

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

This comprehensive rhinoplasty technique improves the abnormalities found in bilateral cleft lip nasal deformity by using the successful aspects of other methods and introducing the composite conchal graft.

Authors+Show Affiliations

Division of Plastic and Reconstructive Surgery, Oregon Health & Sciences University, Portland, OR, USA. ozakiw@scoms.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16537108

Citation

Ozaki, Wayne, et al. "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, vol. 34, no. 3, 2006, pp. 150-5.
Ozaki W, Chaffoo RA, Vu KC, et al. Comprehensive rhinoplasty technique to correct the bilateral cleft lip nasal deformity using conchal composite grafts. J Craniomaxillofac Surg. 2006;34(3):150-5.
Ozaki, W., Chaffoo, R. A., Vu, K. C., & Markowitz, B. L. (2006). 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, 34(3), 150-5.
Ozaki W, et al. Comprehensive Rhinoplasty Technique to Correct the Bilateral Cleft Lip Nasal Deformity Using Conchal Composite Grafts. J Craniomaxillofac Surg. 2006;34(3):150-5. PubMed PMID: 16537108.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comprehensive rhinoplasty technique to correct the bilateral cleft lip nasal deformity using conchal composite grafts. AU - Ozaki,Wayne, AU - Chaffoo,Richard A K, AU - Vu,Kim-Chi, AU - Markowitz,Bernard L, Y1 - 2006/03/14/ PY - 2003/08/19/received PY - 2005/11/22/accepted PY - 2006/3/16/pubmed PY - 2006/6/7/medline PY - 2006/3/16/entrez SP - 150 EP - 5 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 34 IS - 3 N2 - INTRODUCTION: 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. PATIENTS: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: This comprehensive rhinoplasty technique improves the abnormalities found in bilateral cleft lip nasal deformity by using the successful aspects of other methods and introducing the composite conchal graft. SN - 1010-5182 UR - https://www.unboundmedicine.com/medline/citation/16537108/Comprehensive_rhinoplasty_technique_to_correct_the_bilateral_cleft_lip_nasal_deformity_using_conchal_composite_grafts_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(05)00166-6 DB - PRIME DP - Unbound Medicine ER -