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[Nasal septum cartilage-silica gel complex for repairing nasal deformities of unilateral cleft lip].

Abstract

OBJECTIVE

To evaluate the operative methods and therapeutic effects of nasal septum cartilage-silica gel complex for two-stage repair of nasal deformities of unilateral cleft lip.

METHODS

From June 2001 to June 2007, 38 cases of secondary nasal deformity and septum deviation of cleft lip were treated with transplanting nasal septum cartilage-silica gel complex. Among of them, there were 21 males and 17 females, aging 14-23 years with an average of 17.6 years. All cases were with nasal deformities of unilateral cleft lip, including 21 cases of complete cleft lip and 17 cases of incomplete cleft lip. The locations were left side in 26 cases and right side in 12 cases. Nasal deformities were columella nasi deflexion, flattened nasal tip, pteleorrhine and alanasi collapse. The patients received 1-4 times operations, and the interval of two operations was 3-10 years (mean 5.5 years). According to nasal deformity, the nasal septum cartilage of 1.8 cm x 1.2 cm was cut, and transplanted into the nose point phantom surface forming "the shield" to extend nose column and to raise the tip of the nose. At the same time the nasal tip fat-connective tissue flap graft with fat knot was given. After fixation, the nasal alar cartilage and soft tissues were reduced to normal position.

RESULTS

Primary healing of the incisions was achieved in all cases. The nasal deformity was corrected. The postoperative follow-up period was 12-18 months with an average of 15.6 months. All the patients of regional cartilage scars had no complication. The figure of nose was slinky, the height of apex of nose and the shape of nose was natural, the apex of nose, nasal ala, nostrils and nasal columella were satisfactory [(the results were satisfactory in 30 cases (78.9%), general in 8 cases (21.1%)]. The nose department overall esthetics shape was improved in all the patients, no complications of the phantom sliding, shifting and exposure, hemorrhage and infection occurred.

CONCLUSION

The nasal septum cartilage-silica gel complex to repair the nasal deformities of unilateral cleft lip is an ideal operation style.

Authors+Show Affiliations

Department of Plastic Surgery, Weifang Plastic Surgical Hospital of Weifang Medical College, Weifang Shandong, 261042, P.R. China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Evaluation Studies
Journal Article

Language

chi

PubMed ID

19662982

Citation

Li, Qingwei, et al. "[Nasal Septum Cartilage-silica Gel Complex for Repairing Nasal Deformities of Unilateral Cleft Lip]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 23, no. 7, 2009, pp. 807-10.
Li Q, Sheng Z, Tang S, et al. [Nasal septum cartilage-silica gel complex for repairing nasal deformities of unilateral cleft lip]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009;23(7):807-10.
Li, Q., Sheng, Z., Tang, S., Yang, B., & Yu, X. (2009). [Nasal septum cartilage-silica gel complex for repairing nasal deformities of unilateral cleft lip]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 23(7), pp. 807-10.
Li Q, et al. [Nasal Septum Cartilage-silica Gel Complex for Repairing Nasal Deformities of Unilateral Cleft Lip]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009;23(7):807-10. PubMed PMID: 19662982.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Nasal septum cartilage-silica gel complex for repairing nasal deformities of unilateral cleft lip]. AU - Li,Qingwei, AU - Sheng,Zunqi, AU - Tang,Shengjian, AU - Yang,Biaobing, AU - Yu,Xiaohua, PY - 2009/8/11/entrez PY - 2009/8/11/pubmed PY - 2010/4/2/medline SP - 807 EP - 10 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 23 IS - 7 N2 - OBJECTIVE: To evaluate the operative methods and therapeutic effects of nasal septum cartilage-silica gel complex for two-stage repair of nasal deformities of unilateral cleft lip. METHODS: From June 2001 to June 2007, 38 cases of secondary nasal deformity and septum deviation of cleft lip were treated with transplanting nasal septum cartilage-silica gel complex. Among of them, there were 21 males and 17 females, aging 14-23 years with an average of 17.6 years. All cases were with nasal deformities of unilateral cleft lip, including 21 cases of complete cleft lip and 17 cases of incomplete cleft lip. The locations were left side in 26 cases and right side in 12 cases. Nasal deformities were columella nasi deflexion, flattened nasal tip, pteleorrhine and alanasi collapse. The patients received 1-4 times operations, and the interval of two operations was 3-10 years (mean 5.5 years). According to nasal deformity, the nasal septum cartilage of 1.8 cm x 1.2 cm was cut, and transplanted into the nose point phantom surface forming "the shield" to extend nose column and to raise the tip of the nose. At the same time the nasal tip fat-connective tissue flap graft with fat knot was given. After fixation, the nasal alar cartilage and soft tissues were reduced to normal position. RESULTS: Primary healing of the incisions was achieved in all cases. The nasal deformity was corrected. The postoperative follow-up period was 12-18 months with an average of 15.6 months. All the patients of regional cartilage scars had no complication. The figure of nose was slinky, the height of apex of nose and the shape of nose was natural, the apex of nose, nasal ala, nostrils and nasal columella were satisfactory [(the results were satisfactory in 30 cases (78.9%), general in 8 cases (21.1%)]. The nose department overall esthetics shape was improved in all the patients, no complications of the phantom sliding, shifting and exposure, hemorrhage and infection occurred. CONCLUSION: The nasal septum cartilage-silica gel complex to repair the nasal deformities of unilateral cleft lip is an ideal operation style. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/19662982/[Nasal_septum_cartilage_silica_gel_complex_for_repairing_nasal_deformities_of_unilateral_cleft_lip]_ L2 - https://medlineplus.gov/cleftlipandpalate.html DB - PRIME DP - Unbound Medicine ER -