Gassner, Holger G. and Schwan, Franziska and Haubner, Frank and Suarez, Gustavo A. and Vielsmeier, Veronika (2016) Technique in Cleft Rhinoplasty: The Foundation Graft. FACIAL PLASTIC SURGERY, 32 (2). pp. 213-218. ISSN 0736-6825, 1098-8793
Full text not available from this repository. (Request a copy)Abstract
Secondary cleft rhinoplasty represents a particular surgical challenge. The authors have identified the deficit in skeletal projection of the cleft-sided piriform rim as an important contributor to the pathology. A graft is described to augment the piriform crest on the cleft side. This foundation graft is suture fixated to the piriform crest after complete release of all soft tissue attachments to the alar base. The foundation graft is articulated with a long alar strut graft, which allows for powerful projection of the cleft-sided nasal tip. An advancement flap of vestibular skin is described to correct the vestibular stenosis. A transplant of diced cartilage in fascia is added to augment maxillary soft tissue volume. Subjective and objective measures of form and function are presented in a retrospective series of five cases, illustrating the efficacy of the techniques described.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LIP; cleft rhinoplasty; foundation graft; vestibular stenosis; costal cartilage |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 Mar 2019 07:01 |
| Last Modified: | 28 Mar 2019 07:01 |
| URI: | https://pred.uni-regensburg.de/id/eprint/3134 |
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