Various Applications of Chondrocutaneous Composite Grafts in Secondary Cleft Lip Nose Patients

Ayhan, Meltem; Görğü, Metin; Erdoğan, Bülent; Aytug, Zeynep; Aksungur, Esin; Sýlýstrelý, Ozlem; Öztan, Yücel

doi:10.1097/01.scs.0000231628.10511.bb

Cited by 13 publications

(7 citation statements)

References 35 publications

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“…Driscoll and Baker (2001) claimed that reconstruction for most patients with nasal alar defects can achieve a highly aesthetic and functional result through the use of a multistaged procedure using free cartilage grafts and vascularized flaps. Ayhan et al (2006) and Joseph and Richard (2008) reported that mobilization, repositioning, and transposing flaps or grafts to the deficient inner surfaces of the vestibule, columella, and upper lateral cartilages form the basis of secondary nasal deformity reconstruction. However, there are only a few previous reports (Millard, 1976;Miyamoto et al, 2007) regarding the evaluation and treatment of alar base depression in nasal deformity secondary to unilateral cleft lip.…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography–Assisted Auricular Cartilage Graft for Depression of the Alar Base in Secondary Unilateral Cleft Lip Repair: A Preliminary Report

Chen

Fang

et al. 2018

The Cleft Palate Craniofacial Journal

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Section: Discussionmentioning

confidence: 99%

Computed Tomography–Assisted Auricular Cartilage Graft for Depression of the Alar Base in Secondary Unilateral Cleft Lip Repair: A Preliminary Report

Chen

Fang

et al. 2018

The Cleft Palate Craniofacial Journal

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“…Ayhan et al published a series of cases where composite conchal cartilage was used in various forms to repair columellar deficit, to form nasal tubercle and nostril sill in cleft lip nasal deformity patients and concluded that conchal cartilage achieved symmetric and functional results. [ 21 ] Turkaslan et al described a technique to place a cartilage graft at the posterior dome area after the release of cleft side ala from vestibular mucosa and skin to elevate the ala depression and tip projection. [ 22 ] Septal cartilage was used in presented case and was satisfactory and a second donor site morbidity was avoided.…”

Section: Discussionmentioning

confidence: 99%

Cleft rhinoplasty

et al. 2015

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It is universally accepted that correction of cleft lip nose deformity remains a formidable challenge for any cleft surgeon. The nose is a prominent part of the face, and hence a masterly executed cleft lip repair directs the beholders’ eyes from the deformed lip to the deformed nose. A deformed nose that results from unilateral cleft of the lip and palate is likened to a tent whose one side is depressed. Many investigators believe that the deformity of the nose is produced by the malpositioning of essentially normal structures, on the other hand some cleft surgeons contend that it is the intrinsic defects in nasal structures that result in cleft nasal deformity. Depressed and hypoplastic bony scaffolding is the most important aspect of cleft nose deformity and addressing this aspect of cleft nose deformity is the secret of success of a perfect secondary rhinoplasty. Controversy still exists on timing of cleft nasal deformity. Proponents of delayed nasal repair suggest that altering the cartilages in early nasal repair at the time of lip repair would complicate future corrective nasal surgeries if the primary repair would prove unsatisfactory. The correction of nasal deformity could be performed with closed or open technique. This paper highlights one such challenging unilateral cleft lip nasal deformity in a adult patient treated by secondary rhinoplasty by open technique.

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“…In 2006, Ayhan et al published a series of 12 cases in which composite chondrocutaneous grafts were applied in various forms to repair the columellar deficit and to form the nasal tubercle and nostril sill in cleft lip nose patients. 10 The authors felt that composite conchal cartilage grafts achieved a symmetrical and functional result. These techniques are similar in nature to previously described composite grafting techniques and may be appropriate on a case by case basis.…”

Section: Other Techniques In Secondary Cleft Rhinoplastymentioning

confidence: 99%

Revision of the Cleft Lip Nose

Angelos

Wang²

2012

Facial plast Surg

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Secondary or revision rhinoplasty for the cleft nasal deformity represents one of the most challenging problems in rhinoplasty surgery. The secondary nasal deformity of the unilateral cleft lip involves a retrodisplaced dome of the ipsilateral nasal tip, hooding of the alar rim, a secondary alar-columellar web, and other deficiencies. This article discusses techniques to achieve the best possible outcome for patients with cleft nasal deformities. We emphasize the importance of early intervention by way of primary cleft rhinoplasty and highlight the typical challenges presented in delayed (secondary) or revision cleft rhinoplasty. We describe how the sliding flap cheilorhinoplasty effectively corrects these deformities using a laterally based chondrocutaneous flap via an open rhinoplasty approach. Columellar struts and shield grafts are some of the techniques combined with this approach to produce optimal results.

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Various Applications of Chondrocutaneous Composite Grafts in Secondary Cleft Lip Nose Patients

Cited by 13 publications

References 35 publications

Computed Tomography–Assisted Auricular Cartilage Graft for Depression of the Alar Base in Secondary Unilateral Cleft Lip Repair: A Preliminary Report

Computed Tomography–Assisted Auricular Cartilage Graft for Depression of the Alar Base in Secondary Unilateral Cleft Lip Repair: A Preliminary Report

Cleft rhinoplasty

Revision of the Cleft Lip Nose

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