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Rhinoplasty Exclusively Utilizing Autologous Costal Cartilage for Patients with Prior Unilateral Cleft Lip Repair
Vinh Hoang Le1,2, Hung Quang Do2, Luan Viet Tran3
1From the Department of Aesthetic and Plastic Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
Plastic and Reconstructive Surgery. Global Open
|July 3, 2024
Summary
This study demonstrates that using autologous costal cartilage for rhinoplasty effectively corrects complex nasal deformities in patients with prior unilateral cleft lip repair. The procedure significantly improved patient outcomes and satisfaction.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Craniofacial Surgery
Background:
- Rhinoplasty presents significant challenges in patients with prior unilateral cleft lip repair due to complex nasal deformities.
- Common issues include horizontally positioned nasal wings, wide cleft-side nostrils, nasal base defects, and deviated columella.
Purpose of the Study:
- To evaluate the efficacy of autologous costal cartilage rhinoplasty in correcting nasal deformities post-unilateral cleft lip repair.
- To assess patient satisfaction and objective improvements in nasal aesthetics.
Main Methods:
- A case series of 39 patients undergoing rhinoplasty with autologous costal cartilage was conducted.
- Various cartilage shaping techniques were employed for dorsal augmentation, nasal base elevation, and structural support.
- Outcomes were evaluated using anthropometric measurements, Rhinoplasty Outcome Evaluation (ROE), and FACE-Q scores.
Main Results:
- Significant improvements were observed in all postoperative anthropometric indicators.
- Patient-reported outcomes showed substantial increases in ROE (3x) and FACE-Q (2.26x) scores post-surgery (P < 0.001).
- No major intraoperative or postoperative complications were reported.
Conclusions:
- Autologous costal cartilage rhinoplasty is an effective method for correcting complex nasal deformities in patients with a history of unilateral cleft lip repair.
- The technique offers a valuable solution for improving both functional and aesthetic outcomes in this challenging patient population.
