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

Modified forked flap for controlling columella length in cleft lip open rhinoplasty

“…Ozaki et al, (2006) performed the same Tip projection was obtained via lateral crura elevation and medial advancement and a columellar cartilage strut between the medial crura. This technique can be considered the extreme evolution of this principle, using an inverted V columellar incision to enable an VeY advancement in the two nostrils to lengthen the columella as much as possible, even in adult patients undergoing repeated surgery.…”

“…Many methods have been described to overcome this problem, including the use of composite grafts from the ear (Brown et al, 1946;Dupertuis, 1946;Meade, 1959;Ozaki et al, 2006;Pelliciari, 1949), transposition of a nasolabial flap (Champion, 1960), excision of a diamond-shaped skin flap from the upper columella to create a single VeY advancement from the columella (Gensoul, 1833) or tip (Blair and Lettermann, 1950;Gillies and Millard, 1957;Brauer and Foerster, 1966), and borrowing tissue from the nasal floor (Converse, 1957(Converse, , 1991Cronin, 1958) or septum (Orticochea, 1975). In extreme cases, if the upper lip is missing or is unusable, the Abbé flap can be used as a last resort (Abbé, 1898).…”

Rinoseptoplastía en pacientes fisurados

“…Los principios de la reparación son: -Reposicionar los cartílagos alares -Esculpir tejidos blandos nasales (columela y lóbulo nasal) [19][20][21][22][23][24] . En esta técnica se debe evitar una columela ancha, un ángulo nasolabial aumentado y el riesgo de isquemia 25 .…”

Viability of crushed human auricular and costal cartilage chondrocytes in cell culture

“…Camouflage of these irregularities represents one of the most challenging procedures of rhinoplasty. Various kinds of graft materials including autografts (cartilage, fascia and dermis), homografts (irradiated cartilage, preserved acellular dermis) and alloplasts (polyester, polyethylene) have been used to achieve better aesthetic results (Guerrerosantos, 1991;Sheen, 1998;Cakmak and Ergin, 2002;Sarukawa et al, 2004;Cakmak et al, 2005aCakmak et al, , 2005bBerghaus and Stelter, 2006;Ozaki et al, 2006;Cakmak and Buyuklu, 2007). Autogenous cartilage is considered to be ideal for all types of grafting because of its high survival rate, minimal resorption and low immunogenic characteristics.…”