Evaluation of the use of auricular composite graft for secondary unilateral cleft lip nasal alar deformity repair.

Percy Rossell-Perry,Carolina Romero-Narvaez

doi:10.1155/2014/270285

Abstract

The purpose of this study is to evaluate the surgical outcome after using composite grafts for secondary cleft lip nasal deformities. A retrospective cohort study of one surgeon's outcome of 35 consecutive performed secondary cleft lip nasal deformity repair. Thirty-five patients with secondary nose deformity related to unsatisfactory cleft lip repair were operated using the proposed surgical technique since 2008. All these patients met the study criterion of having anthropometric measurements performed at least one year postoperatively. Measurement of nostril size was performed at the right and left side of the nose, preoperatively and at least one year postoperatively. The study found statistically significant differences between the preoperatory and postoperatory nose measurements. In addition, we have not found statistically significant differences between the cleft and noncleft nostril sizes measured at least one year postoperatively. The findings suggest that the proposed technique is a good alternative to address secondary nose deformity related to cleft lip primary repair.

Highlights

Secondary alar deficiencies are a common undesirable outcome after primary unilateral cleft lip nose repair.Even when this technique has been published previously by many authors, it was not well studied and most of the articles are cases series including a few number of patients.This problem may be in relation to congenital hypoplasia or surgical technique deficiencies.Proper location of this incision would be difficult to be established in some cases.If the incision is done in a higher position, the alar nose is shortened with the consequent nose asymmetry (Figure 1).Different techniques have been described for alar reconstruction like local flaps and grafts
The purpose of this study is to evaluate the symmetry of the nose after using auricular composite grafts for secondary unilateral cleft lip nasal deformities
Thirty-five patients with secondary alar nose deformity related to unsatisfactory unilateral cleft lip repair were operated using the proposed surgical technique since 2008

Summary

Introduction

Secondary alar deficiencies are a common undesirable outcome after primary unilateral cleft lip nose repair.Even when this technique has been published previously by many authors, it was not well studied and most of the articles are cases series including a few number of patients.This problem may be in relation to congenital hypoplasia or surgical technique deficiencies (commonly observed using Millard’s subnasal incision).Proper location of this incision would be difficult to be established in some cases.If the incision is done in a higher position, the alar nose is shortened with the consequent nose asymmetry (Figure 1).Different techniques have been described for alar reconstruction like local flaps and grafts. Secondary alar deficiencies are a common undesirable outcome after primary unilateral cleft lip nose repair. Even when this technique has been published previously by many authors, it was not well studied and most of the articles are cases series including a few number of patients. This problem may be in relation to congenital hypoplasia or surgical technique deficiencies (commonly observed using Millard’s subnasal incision). Proper location of this incision would be difficult to be established in some cases.

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Conclusion