Diced Cartilage Rhinoplasty for Cleft Nose Deformities Determining the Flexibility of the Cartilage Framework

Lonic, Daniel and Hsiao, Yen-Chang and Huang, Jung-Ju and Chang, Chun-Shin and Chen, Jyh-Ping and Denadai, Rafael and Bosselmann, Talia and Kehrer, Andreas and Prantl, Lukas and Lo, Lun-Jou and Chen, Yu-Ray (2021) Diced Cartilage Rhinoplasty for Cleft Nose Deformities Determining the Flexibility of the Cartilage Framework. ANNALS OF PLASTIC SURGERY, 86 (3S). S282-S286. ISSN 0148-7043, 1536-3708

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Abstract

Background The objective of this trial is to evaluate the flexibility of the cartilaginous component of the cleft nose after diced cartilage rhinoplasty by determining the degree of possible bending in relation to the vertical nasal dorsum axis and to compare with to a control group of the unaffected population. Patients and Methods Fifteen cleft nose patients with diced cartilage rhinoplasty were included in this study, as well as a control group of 15 unaffected individuals. The angle of maximum nasal bending is measured between the basic and maximum bending axis and performed by the same rater twice at least 2 weeks apart to account for intrarater reliability. Study groups were compared with Fisher and independent t test. Results The maximum bending to the left side was 16.10 +/- 5.03 degrees for the study group and 23.95 +/- 6.54 degrees for the control group (P = 0.001). The maximum bending to the right side were 16.54 +/- 6.73 degrees for the study group and 23.00 +/- 8.88 degrees for the control group (P = 0.034). Conclusion Diced cartilage graft injection for dorsal augmentation yields reproducible and esthetically pleasing outcomes with good flexibility and natural feel of the nasal tip. Although there is a significant difference compared with a nonaffected control group in maximum bending capacity, all patients in this study were satisfied with the results.

Item Type: Article
Uncontrolled Keywords: LIP PATIENTS; GRAFTS; AUGMENTATION; STABILITY; cleft nose; cleft lip and palate; rhinoplasty; diced cartilage; maximum bending; cartilage flexibility
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Sep 2022 09:16
Last Modified: 20 Sep 2022 09:16
URI: https://pred.uni-regensburg.de/id/eprint/47646

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