Secondary Cleft Nasal Deformity Correction Using Bioabsorbable Mesh.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Biomaterials Science

Background:

• Septorhinoplasty in cleft patients presents challenges due to cartilage weakness, often leading to unsatisfactory results.
• Bioabsorbable mesh is utilized as a spreader or batten graft to reinforce the nasal septum in these patients.
• Evaluating the efficacy of bioabsorbable mesh in cleft septorhinoplasty is essential for improving surgical outcomes.

Purpose of the Study:

• To assess the effectiveness of bioabsorbable mesh in supporting the nasal septum during septorhinoplasty for cleft patients.
• To determine the impact of bioabsorbable mesh on key aesthetic and structural parameters of the nose post-surgery.

Main Methods:

• A cohort of 34 patients with cleft lip and nose underwent open septorhinoplasty using bioabsorbable mesh between 2009 and 2013.
• Pre- and post-operative measurements included nasolabial angle, Goode ratio, alar base-nasal tip-columellar base angle, and columellar axis angle.
• A panel evaluation was conducted to assess the aesthetic results.

Main Results:

• Significant improvements were observed in the nasolabial angle (85.69° to 91.62°) and Goode ratio (0.51 to 0.55).
• The alar base-nasal tip-columellar base angle decreased significantly (36.28° to 31.74°), and the columellar axis angle increased (82.36° to 86.90°).
• These quantitative changes indicate enhanced nasal symmetry and projection.

Conclusions:

• Bioabsorbable mesh serves as an effective cartilage support in cleft septorhinoplasty, yielding favorable aesthetic outcomes.
• The use of bioabsorbable mesh demonstrates strong structural support with minimal complications.
• This technique is a viable option for improving results in reconstructive surgery for cleft patients.