Supra Alar island flap and costal cartilage for “Arrow Tail” short nose deformity correction

ABSTRACTAim: The purpose of this article is to review modification and outcome of secondary rhinoplasty along with Abbι flap for correction of secondary bilateral cleft lip deformity. Materials and Methods: A total of thirteen patients of secondary bilateral cleft lip-nose deformity having tight upper lip, lack of acceptable philtral column, Cupid′s bow definition, irregular lip scars, and associated nasal deformity were selected. All the patients received Abbι flap and simultaneous nasal correction. All cases were treated during a period of three years. Mean patient age at the time of the operation was 21 years, and ranged from 16 to 27 years. The average follow-up period was three years. Results: Assessment of results was based on comparing preoperative and postoperative clinical photographs done by surgeon and patient relatives and patient satisfaction questionnaires. The columellar lengthening and upper lip vermillion correction achieved was satisfactory. There were no perioperative complications such as airway obstruction, bleeding, infection, wound disruption, or flap necrosis.

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Dorsal Augmentation of Saddle Nose Deformity With Toothpick-Shaped Costal Cartilage Grafts in the Secondary Septorhinoplasty

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000004032 ◽

2017 ◽

Vol 28 (8) ◽

pp. 2063-2065 ◽

Cited By ~ 3

Author(s):

Raşit Cevizci ◽

Selin Üstün Bezgin ◽

Burak Ömür Çakir ◽

Burak Kersin ◽

Yildirim Ahmet Bayazit

Keyword(s):

Costal Cartilage ◽

Saddle Nose ◽

Cartilage Grafts ◽

Saddle Nose Deformity ◽

Nose Deformity

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Correction of Severe Short Nose Using a Costal Cartilage Extension Framework

Annals of Plastic Surgery ◽

10.1097/sap.0000000000002395 ◽

2020 ◽

Vol 85 (5) ◽

pp. 472-475

Author(s):

Jiao Wei ◽

Jinsong Zhang ◽

Tanja Herrler ◽

Shuyi Wei ◽

Qinghua Chen ◽

...

Keyword(s):

Costal Cartilage ◽

Short Nose

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Y-Shaped En-Bloc Mortise-Tenon Rhinoplasty Technique

Aesthetic Surgery Journal ◽

10.1093/asj/sjz120 ◽

2019 ◽

Vol 40 (1) ◽

pp. NP8-NP20 ◽

Cited By ~ 1

Author(s):

Zheng Tan ◽

Wentao Sun ◽

Wenjing Yang ◽

Xiaoling Zhu ◽

Fan Dong ◽

...

Keyword(s):

Costal Cartilage ◽

Septal Cartilage ◽

The Novel ◽

En Bloc ◽

Level Of Evidence ◽

Cartilage Grafts ◽

Asian Patients ◽

Caudal Portion ◽

Aesthetic Results ◽

Nose Deformity

AbstractBackgroundNasal tip management is the most important and challenging aspect of rhinoplasty. Costal cartilage can be utilized in septal extension grafting to effectively correct nasal shape deformity.ObjectivesThe authors described their experience with costal cartilage grafting for septal extension utilizing a novel en-bloc mortise-tenon technique to correct primary or secondary nose deformity or to enhance nasal appearance in Asian patients.MethodsFrom July 2015 to December 2017, costal cartilage grafts were applied as septal extension biomaterials utilizing the novel en-bloc mortise-tenon technique in 278 consecutive Asian rhinoplasty patients with primary (n = 95), secondary (n = 173), and tertiary (n = 10) nose deformity or in patients needing nasal reshaping. The age of the patients ranged from 19 to 46 years. In all cases, the mucoperichondria of the nasal septum were dissected bilaterally from the septal cartilage. The prepared en-bloc costal cartilage graft was mounted onto the caudal portion of the septal cartilage and fixed to the septum with 5-0 polydioxanone sutures.ResultsThe follow-up duration ranged from 10 months to 2.5 years. Of the 278 patients treated, 5 were male and 273 were female. External lengthening of the nose from the nasal root to the tip ranged from 3 to 10 mm. All patients except 1 were satisfied with the shape of the nose.ConclusionsThe authors obtained good aesthetic results utilizing the novel en-bloc mortise-tenon method for connecting costal cartilage grafts as septal extension materials in patients with different types of nasal deformity and in patients needing nose reshaping.Level of Evidence: 4

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