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Application of Diced Autologous Rib Cartilage for Paranasal Augmentation in Cleft Nose

  • Original Article
  • Rhinoplasty
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Abstract

Objective

This study aimed to investigate the clinical effect of diced cartilage on correcting nasal alar base depression in Asian cleft rhinoplasty.

Methods

A retrospective study was conducted on 25 patients with nasal deformity, who underwent the second cleft rhinoplasty between January 2018 and January 2020. Autologous costal cartilage was harvested in all the patients to reconstruct the contour of the nose, while the remaining cartilage from the surgery was cut into 1.0×1.0 mm pieces and filled into the nasal alar base. The preoperative and postoperative effects of visual images were compared and analyzed using Adobe Photoshop CS6 software. The patients were followed up for 8–18 months (mean 12 months) to investigate the satisfaction and complication rate.

Results

The nasal alar base depression was corrected, and the profile of malformed noses was significantly improved in 25 patients after the surgery. The postoperative effect was satisfactory, and no obvious graft shift or other complications were observed in the follow-up.

Conclusions

The application of diced cartilage to correct nasal alar base depression after cleft lip surgery is a feasible method. Its advantages include mainly the crafty use of the remaining cartilage and the presentation of a more natural appearance than mass cartilage.

Level of Evidence IV

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Authors and Affiliations

  1. Department of Burn and Plastic Surgery, The Second Xiangya Hospital of Central South University, 139 Furong Road, Changsha, 410011, Hunan, China

    Ying Liang & Xiancheng Wang

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  1. Ying Liang
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  2. Xiancheng Wang
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Correspondence to Xiancheng Wang.

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Conflict of interest

All authors declare that there are no conflict of interest.

Ethical Approval

This study was conducted in accordance with Declaration of the Helsinki.

Informed Consent

Informed consent was obtained from all patients who underwent rhinoplasty.

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Liang, Y., Wang, X. Application of Diced Autologous Rib Cartilage for Paranasal Augmentation in Cleft Nose. Aesth Plast Surg 45, 1169–1175 (2021). https://doi.org/10.1007/s00266-020-02036-y

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  • DOI: https://doi.org/10.1007/s00266-020-02036-y

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