Secondary correction of nasal deformities in cleft lip patients using acellular dermal matrix grafting on the nasal tip with open rhinoplasty

Yue, Haiqiong; Zhong-yu, Piao; Cao, Hui; Chen, Hao; Hui, Luo

doi:10.1016/j.bjoms.2023.04.003

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…A chimeric graft implanted in the nasal tip was used for the vertical portion of the nasal tip graft, so that the entire nasal tip could be lengthened and slightly protruded. The alar base-nasal tip-columellar base angle was significantly reduced after surgery, indicating an improvement in nasal tip projection 25 …”

Section: Discussionmentioning

confidence: 89%

“…In 2020, Heidari et al 21 of Iran further used a randomized controlled trial to compare the efficacy and safety of temporal fascia-wrapped chopped cartilage and allogeneic dermal-wrapped rhinoplasty. In 2023, Yue et al 25 published a 2-stage nasal tip ADM transplantation combined with open rhinoplasty to repair nasal deformities in patients with cleft lip due to the depression of the nasal tip, shortening of the columella, bilateral alar cartilage dislocation, and eversion of the base of the nasal alar caused by patients with cleft lip.…”

Section: Resultsmentioning

confidence: 99%

“…The alar base-nasal tip-columellar base angle was significantly reduced after surgery, indicating an improvement in nasal tip projection. 25 Complications are inevitable. Secondary rhinoplasty patients typically see their surgeon for 3 reasons.…”

Section: Discussionmentioning

confidence: 99%

Section: Materials and Surgical Techniquesmentioning

confidence: 99%

“…The preliminary literature search retrieved a total of 138 documents. After full-text screening, 10 studies [16][17][18][19][20][21][22][23][24][25] met the inclusion criteria and were included in this systematic review. The literature screening process is shown in Figure 1.…”

Section: Research Characteristicsmentioning

confidence: 99%

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A Systematic Review of Technique, Satisfaction, and Complications of Acellular Dermal Matrix in Rhinoplasty

Tang,

Han,

et al. 2024

Journal of Craniofacial Surgery

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Objective: Acellular dermal matrix (ADM) is a new dermal transplant replacement material prepared from allogeneic or xenograft skin through bioengineering technology. This is provided for patients who are unwilling to kill part of their autologous cartilage or autologous dermal tissue and require rhinoplasty and improvement in the appearance of the nasal tip. This systematic review aims to introduce the main techniques of ADM for rhinoplasty and related patient satisfaction and complications to further guide doctors. Methods: Systematic reviews were conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses guidelines. The authors searched PubMed, Web of Science, Embase, and Cochrane Library using appropriate keywords. Data collected for each study included patient satisfaction and complications in addition to relevant technology. Results: After full-text screening of inclusion and exclusion criteria, 10 studies were included, with a total of 324 patients receiving ADM with different transplantation methods. Primary rhinoplasty or secondary rhinoplasty study for dorsal ridge augmentation, smooth contour irregularities, autograft camouflage including tip grafts. The incidence of dorsal implant distortion was 0.72% in patients. The incidence of deviation was 2.17% in patients. The incidence of mild edema was 5.17% in patients. The incidence of partial resorption was 10.87% in patients. The incidence of significant resorption was 13.04% in patients. The incidence of seroma was 0.72% in patients. The incidence of partial prolapse was 0.72% in patients. The incidence of overcorrection and reoperation was 0.72% in patients. The incidence of erythema was 0.72% in patients. The incidence of undercorrection was 0.72% in patients. The incidence of infection was 0.72% in patients. The incidence of high-lying implants was 1.45% in patients. Conclusion: The current research results show that ADM is long-term effective in improving nasal dorsum enhancement, nasal contour deformity, and nasal tip appearance, with high patient satisfaction and low overall complication rate. Overcorrection should be considered during surgery to deal with postoperative partial absorption.

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Section: Discussionmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Materials and Surgical Techniquesmentioning

confidence: 99%

Section: Research Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Review of Technique, Satisfaction, and Complications of Acellular Dermal Matrix in Rhinoplasty

Tang,

Han,

et al. 2024

Journal of Craniofacial Surgery

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Free Crushed Cartilage Filler Graft to Optimize Tip Aesthetics in Asian Rhinoplasty

Chang,

Cho,

Jang

2024

Aesth Plast Surg

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Comparison of Facial Aesthetic Evaluation Given by Patients with Cleft Lip and/or Palate and Professionals: A Systematic Review

Wang,

Kuang,

Yan

et al. 2024

The Cleft Palate Craniofacial Journal

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Objective To compare the differences of facial aesthetic evaluation between patients with Cleft Lip and/or Palate (CL/P) and professionals for the treatment outcome of CL/P. Design This systematic review was conducted on MedLine, Web of Science, Embase and Cochrane Library databases. The Risk of Bias in Non-randomized Studies of Intervention (ROBINS-I) tool was used to evaluate the included researches. Setting Not applicable. Patients, Participants Patients with CL/P and professionals Interventions Not applicable. Main Outcome Measures The facial aesthetic evaluation of patients with CL/P and professionals. Results Among the 1695 literatures retrieved, 22 articles were included, including 974 patients with CL/P and 251 professionals. The bias risk assessment on 21 articles was rated “Moderate” and only one article was rated “Serious”. Due to the high heterogeneity of the included studies, meta-analysis was not possible, so descriptive analysis was conducted. Among the included studies, two articles indicated similar views from both groups, 19 noted differences between the two groups, of which three articles indicated more positive evaluation by professionals and nine articles indicated more positive evaluation by patients. Conclusions The available data indicate that there is a difference between patients with CL/P and professionals in the aesthetic evaluation, but it is not clear which group is more positive. During the treatment of patients with CL/P, apart from the objective aesthetic evaluation, professionals should fully consider subjective ideas and self-assessment of patients, in order to improve the quality of life for patients.

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Secondary correction of nasal deformities in cleft lip patients using acellular dermal matrix grafting on the nasal tip with open rhinoplasty

Cited by 3 publications

References 19 publications

A Systematic Review of Technique, Satisfaction, and Complications of Acellular Dermal Matrix in Rhinoplasty

A Systematic Review of Technique, Satisfaction, and Complications of Acellular Dermal Matrix in Rhinoplasty

Free Crushed Cartilage Filler Graft to Optimize Tip Aesthetics in Asian Rhinoplasty

Comparison of Facial Aesthetic Evaluation Given by Patients with Cleft Lip and/or Palate and Professionals: A Systematic Review

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