The ‘C’ costal cartilage graft in reconstruction of the unilateral cleft lip nose

1981 ◽  
Vol 34 (2) ◽  
pp. 169-172 ◽  
Author(s):  
Laurence A. Chait
2017 ◽  
Vol 26 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Hung-Chang Chen ◽  
Cheng-I Yen ◽  
Shih-Yi Yang ◽  
Yen-Chang Hsiao

Introduction: Autologous costal cartilage dorsal onlay graft is widely used for dorsum and radix augmentation in secondary cleft lip nasal rhinoplasty. The most common drawback of costal cartilage dorsal onlay graft is warping. The purpose of this article is to describe our chimeric autologous costal cartilage graft technique, which prevents warping significantly. “Chimeric” means the combination of 2 different tissues (bone and cartilage) to make a single dorsal onlay graft. Patients and Methods: From June 2011 to June 2014, 16 cleft lip patients who underwent rhinoplasty and needed dorsal onlay grafts with costal cartilage graft using the chimeric autologous costal graft method were identified. All patients were operated by the corresponding author. Patients’ nasal profiles were documented and photographed preoperatively and postoperatively. Result: There were 5 males and 11 females with ages ranging from 20 to 52 years (averaging 29.5 years). There were 14 unilateral and 2 bilateral cleft lips. The average follow-up time was 12.1 months. Six patients received revision surgery, including 1 (6%) warping and 5 (30%) revisions. All patients were harvested rib cartilage graft as cartilage donor and there was no complication with the donor site. Conclusion: From the clinical observation of all patients during the follow-up period, this technique is effective for preventing cartilage warping.


2019 ◽  
Vol 30 (8) ◽  
pp. 2464-2468
Author(s):  
Wael M. Talaat ◽  
Mohamed M. Ghoneim ◽  
Yasser M. El-Shikh ◽  
Sherif I. Elkashty ◽  
Mohammed A.G. Ismail ◽  
...  

2014 ◽  
Vol 25 (5) ◽  
pp. e443-e445 ◽  
Author(s):  
Yoshiyuki Mori ◽  
Tsuyoshi Takato ◽  
Kazuto Hoshi ◽  
Yuki Kanno ◽  
Madoka Sugiyama ◽  
...  

2013 ◽  
Vol 42 (10) ◽  
pp. 1204
Author(s):  
K. Torikai ◽  
T. Kijima ◽  
R. Nagaoka ◽  
T. Misawa ◽  
H. Naganishi

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Connor McGuire ◽  
Osama A. Samargandi ◽  
Colton Boudreau ◽  
Ashley Whelan ◽  
Michael Bezuhly

2019 ◽  
pp. 461-470
Author(s):  
Melissa Kanack ◽  
Catherine Tsai ◽  
Amanda Gosman

Microtia may occur as an isolated finding or in conjunction with other associated anomalies or a genetic syndrome. Ear reconstruction for these patients is typically performed no earlier than 6 years of age. In this chapter, a staged autogenous method of ear reconstruction is described using costal cartilage. In the first stage, a costal cartilage graft is harvested and placed. The next stages involve lobule transposition, detachment of the auricle with placement of a posterior skin graft, and further refinement of the external ear landmarks with tragus creation and definition of the conchal bowl and ear canal.


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