Diced cartilage rhinoplasty technique for cleft lip patients

Chun Shin Chang, Léonard Bergeron, Philip Kuo Ting Chen

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Late warping of dorsal cartilage onlay grafts is a problematic complication of current secondary rhinoplasty techniques in cleft lip patients. Material and Methods: From May 2005 to December 2008, a total of 282 cleft patients had a secondary rhinoplasty performed at our center with a modified diced cartilage technique. Finely diced cartilage was injected over a cartilage framework, and no "sleeve" was used. Of those patients, 246 with a follow-up of more than 6 months were included in this retrospective study. Results: The infection rate was 7.7%. In addition, 5.7% of patients complained of a bulbous tip. Cartilage warping, as seen with classic en bloc grafting of the dorsum, did not occur. Dorsal irregularity was seen in 8.5% of cases, and grafts were visible in 1.2% of cases. The reoperation rate was 8.1%. Conclusion: This technique has greatly reduced the late cartilage warping seen with the classic cartilage bloc dorsal augmentation. Complications are low, comparable in occurrence to other techniques, and are easily manageable, making it our technique of choice.

Original languageEnglish
Pages (from-to)663-669
Number of pages7
JournalCleft Palate-Craniofacial Journal
Volume48
Issue number6
DOIs
Publication statusPublished - Nov 1 2011
Externally publishedYes

Fingerprint

Rhinoplasty
Cleft Lip
Cartilage
Transplants
Inlays
Reoperation
Retrospective Studies
Infection

Keywords

  • Cleft lip
  • Diced cartilage
  • Nasal deformity
  • Nasal dorsum
  • Secondary rhinoplasty

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

Cite this

Diced cartilage rhinoplasty technique for cleft lip patients. / Chang, Chun Shin; Bergeron, Léonard; Chen, Philip Kuo Ting.

In: Cleft Palate-Craniofacial Journal, Vol. 48, No. 6, 01.11.2011, p. 663-669.

Research output: Contribution to journalArticle

Chang, Chun Shin ; Bergeron, Léonard ; Chen, Philip Kuo Ting. / Diced cartilage rhinoplasty technique for cleft lip patients. In: Cleft Palate-Craniofacial Journal. 2011 ; Vol. 48, No. 6. pp. 663-669.
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