Columella Lengthening With A Split Thickness Costocondral Graft For Secondary Cleft Nose Repair: A Case Series
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Background: Cleft nasal deformity represents an inevitable challenge for reconstructive surgeons.Numerous techniques for secondary cleft rhinoplasty have been described in the literature over the past several decades, yet the lack of wide adoption of any given technique highlights the great variability seen with this problem.In this scenario our study has looked at the advantages and usefulness of split thickness costochondral graft in secondary cleft rhinoplasty. Aims and Objectives: To analyse the reliability of split thickness costochondral graft in secondary rhinoplasty and to evaluate nasal profiles before and after the surgery using the photogrammetric method. Material & Methods: A retrospective review was performed in 10 secondary cleft nasal deformity patients. All the patients underwent a split thickness costochondral graft to elongate the columella. Preoperative Nasal assessment was done withphotographs especially in worms and lateral view. Postoperative assessments were also done with photograph taken at immediate post op, three months, and six months intervals. Predetermined points were marked on the pre and postoperative photograph. Results: The means and standard deviations of the 12 variables were calculated before and after the operation, and pvalues < 0.05 were considered to indicate statistical significance.The results confronted were, nasal profiles were improved in all patients. The columellar and nostril heights were increased. Most patients showed improved tip projection. The changes in the nasal profile were statistically significant. Columellar height, nostril height, and the columella-lip angle increased, and the nasal width decreased. The ratios of columellar height to nasal height, columellar height to nasal width, and nasal height to nasal width increased significant. Conclusion: In cleft lip nasal deformity correction, columellar lengthening is very important part of nasal reconstructive procedure. Even though various techniques and studies has been published in relation to columellar lengthening with various autogenous,non-autogenous grafts, costochondral graft is proven to be rigid when it comes support. Instead of harvesting a full thickness graft, split thickness graft has reduced complication, less time consuming, reliable, abundant, and relatively accessible donor with which to facilitate successful secondary rhinoplasty surgery.
Authors and Affiliations
Dr Arun Ramaiah, Dr. Rajarshi Basu, Dr. Gayathri R Nair, Dr. Mathew Pc
Keywords
Related Articles
- EP ID EP377282
- DOI 10.9790/0853-1707046366.
- Views 37
- Downloads 0
Evaluation of Intraoperative Frozen Sections: Experience in a Tertiary Care Hospital
Aim: Intraoperative frozen section analysis play an important role in modern day surgical practice. The quality assurance of this technique is vital as it is a major tool in guiding the patient surgical management. The p...
Hepatic Resection Surgeries: Perioperative Management and Prevention of Ischaemia Reperfusion InjuryAn Anesthesiologist’s Perspective
Improvements in the understanding of liver anatomy, patient selection, and also surgical and anaesthetic techniques have contributed to a reduction in perioperative mortality although patients with parenchymal liver dise...
‘’Role of early enteral feeding in acute pancreatitis’’
Objective: 1. To assess the occurrence of infective and non-infective complications in cases of acute pancreatitis on early enteral nutrition.2. To assess the need for surgical intervention in cases of acute pancreatitis...
Traitement Orthodontique Et Prévention Du Risque Carieux
Le traitement orthodontique fixe peut provoquer une détérioration temporaire de l'hygiène buccale avec des changements inflammatoires gingivaux et des déminéralisations tissulaires. Cette étude clinique prospectif contrô...
Profile of HIV Positive Attendees at Integrated Counseling and Testing Centre of A Teaching Institution in West Bengal
Introduction : HIV/AIDS has turned out into global pandemic. There were approximately 36.7 million people worldwide living with HIV/AIDS at the end of 2016. Of these, 2.1 million were children (<15 years old). An estimat...