scholarly journals Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study

2008 ◽  
Vol 41 (02) ◽  
pp. 160-161
Author(s):  
Jagannathan Mukund
2008 ◽  
Vol 41 (02) ◽  
pp. 128-132
Author(s):  
C. Yogesh Bhatt ◽  
Kinnari A. Vyas ◽  
S. Tandale Mangesh ◽  
S. Panse Nikhil ◽  
S. Bakshi Harpreet ◽  
...  

ABSTRACTMaxillonasal dysplasia or Binder′s syndrome is an uncommon congenital condition characterized by a retruded mid-face with an extremely flat nose. We report here six patients with maxillonasal dysplasia whose noses were corrected with onlay costal cartilage grafts using a combined oral vestibular and external rhinoplasty approach for nasal dorsal augmentation, columellar lengthening, and premaxillary augmentation. The cartilage graft was dipped in a solution of 100 ml 0.9% NaCl and one vial (80mg) gentamicin for 30 min to prevent warping. L struts made for nasal augmentation, columellar lengthening, and premaxillary augmentation were fixed to one another by slots made in the graft. This technique has been used in children, adults, and for secondary cases with promising results. All patients were of class I dental occlusion. The nasal and premaxillary augmentation which was monitored by serial photography was found to be stable over a follow-up period of three years


2008 ◽  
Vol 41 (2) ◽  
pp. 151 ◽  
Author(s):  
YogeshC Bhatt ◽  
KinnariA Vyas ◽  
MangeshS Tandale ◽  
NikhilS Panse ◽  
HarpreetS Bakshi ◽  
...  

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 5 (2) ◽  
pp. 220-225
Author(s):  
Kristaninta Bangun ◽  
Muhammad Iqbal Maulana ◽  
Teuku Nanda Putra

Background : Naso-orbital-ethmoid (NOE) fracture is one of the common injury and the management remains difficult and controversial due to the anatomic complexity. Severe facial deformity and dysfunction are the results from the untreated injury. Moreover, the results from many procedures are not aesthetically satisfying. Meanwhile diced cartilage graft popularity is increasing in order to correct nasal deformity whether post trauma, revision (secondary) rhinoplasty or cleft nose. The procedure is less time consuming, easy to perform and also highly malleable. Methods : This study presents our experience in managing four patients with NOE fracture using costal cartilage graft technique immediately after injury. A columellar V-shaped incision was made, the finely diced cartilage harvested from the eight rib was injected to the glabella, dorsum and nasal tip using one cc syringe needle with cut tip. Demographic data were obtained from the patients’ medical record. Post-operative results were observed.  Result: The four surgeries were done, with average 5.75 (range, 2-9) days after injury. During the observation, nasal tip misalignment was observed in only one patient. Diced cartilage were not visible through the skin, although it could be palpable. No cartilage extrusion were occurred. After averange follow up 10.25 mo (range 8-12 mo) All patients were satisfied with their facial appearance. Conclusion: The fracture of NOE can be manage with immediate diced costal cartilage graft, since this treatment can achieve a normal facial function and appearance. The complications are low and manageable, making it as serious contender technique of choice in managing NOE fracture to other techniques. Keywords: NOE fracture, diced costal cartilage graft, facial fracture


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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