Authors: Ju Young Go GooHyun Mun Sa Ik Bang Kap Sung Oh So Young Lim
Publish Date: 2014/07/16
Volume: 38, Issue: 5, Pages: 923-929
Abstract
Among the many secondary deformities in cleftlip nose the alar–columella web is unsightly and is a recurrent deformity The purpose of this article is to revisit the correction of alar web deformity in patients with cleftlip nasal deformities and to introduce our web graft techniqueThirteen patients with alar webbing underwent surgery between June 2012 and February 2013 The age range of the patients at the time of surgery was 14–29 years An open rhinoplasty incision including a reverseU incision was made and cartilage work was performed After the cleft side was equalized with the dome angle of the healthy side we used contralateral alar or auricular cartilage grafts as a stiff batten to stabilize the converted web skin The web graft was fixed to the cleftside web skin’s inner side with at least three sutures to maintain the tucking of the vestibular skin The followup period ranged from 1 to 20 months
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