Summary
Background
Although many articles have investigated the optimal method for the primary correction
of nasal deformities during unilateral cleft lip repair, residual nasal deformities
often remain. Such residual deformities are commonly corrected around the age of 5.
We have started performing two-stage nasal repair operations for unilateral cleft
lip patients. During the first stage, the nasal floor is elevated, and the alar base
is brought into the correct position by muscle reconstruction during primary lip repair.
During the second stage, the slanting nasal apex and drooping alar rim are corrected
at pre-school age. This article describes the methods and results of second-stage
open rhinoplasty.
Methods
Open rhinoplasty is performed. The conchal cartilage is harvested and used as a strut
to strengthen and extend the septum. The lower lateral cartilages are sutured to the
grafted cartilage and fixed in the correct position. The operative results of 38 patients
were evaluated photogrammetrically. The nasal height, nostril height and the columella
angle on a basilar view of the nose were measured.
Results
In most patients, the nose was refined and became less distorted. Poorly projecting
nasal tips and drooping alar rims were corrected. The reformed configuration was relatively
well maintained for many years. Photogrammetric analysis demonstrated increases in
both the nasal height to nasal width ratio and the nostril height to nostril width
ratio, and improvement of the columella angle.
Conclusion
Performing open rhinoplasty using conchal cartilage during childhood effectively improves
unilateral cleft-lip nasal deformities.
Keywords
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Article info
Publication history
Published online: January 25, 2012
Accepted:
January 3,
2012
Received:
October 18,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
