L-SHAPED COSTAL CARTILAGE GRAFTS FOR PARA-NASAL AND ALAR BASE AUGMENTATION IN CLEFT PATIENTS. | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 14 February 2022 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2022.113933.1138 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohammed Hussein   1; Omar El-Sharkawy2
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| 1Department of plastic and reconstructive surgery, Cairo university, Cairo, Egypt | ||||
| 2Plastic Surgery Department, Cairo University, Egypt | ||||
| Abstract | ||||
| Background: A concave pyriform area is a common finding in cleft patients. The effect of pyriform aperture deficiency is extended to the alar base as well as the lower later cartilage. Paranasal augmentation is a useful procedure in those patients, which simulate the visual effect of Le fort I osteotomy. Methods: In 15 patients (3 males & 12 females) with unilateral cleft deformity the 6th costal cartilage was used to create L-shaped paranasal graft which was inserted through limited upper buccal sulcus incision on the cleft side. The graft was fixed to its ideal location using mini-screws. The residual part of the costal cartilage was subcutaneously banked through the same infra-mammary incision for later rhinoplasty. Results: The graft thickness ranged from 3 to 6 mm. The dimensions of the graft were 2.5 x 2.5 cm in both vertical and transverse dimensions. In 10 patients, unilateral paranasal augmentation was done while bilateral grafts were done in 5 unilateral cleft patients when bilateral pyriform deficiency was noticed. In 13 patients, grafts were felt in place with adequate height during the 2nd stage rhinoplasty, while partial graft resorption was notice in two patients. Conclusions: Medially extended L shaped paranasal cartilage graft is a good modality for correction of the pyriform aperture as well as the alar base in cleft patients. the donor site morbidity could be used for both paranasal augmentation as well as later rhinoplasty grafts. | ||||
| Keywords | ||||
| Paranasal; Alveolar cleft; Costal cartilage | ||||
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