RESUMEN
Objective To explore the clinical methodology and comparative analysis of both autogenous septum cartilagineum nasi or Medpor surgical implant in secondary unilateral cleft lip rhinoplasty.Methods Thirty-six patients with varied secondary nasal deformities of unilateral cleft lip were treated,autogenous septum cartilagineum nasi or Medpor surgical implant were implanted to supply the powerful supporting strength for nasal constructions.An anthropometry method based on the quantitative analysis of the characteristics of nasal deformity was used to evaluate and compare the preoperative and postoperative measure of the patients.Results After 6 to 24 months follow-up,all 36 cases received satisfactory results.20 of them used autologous septum cartilagineum nasi to supply the powerful supporting strength for nasal construcions,and other used Medpor surgical implant.No rejection and exposure of implants were found.The postoperative quantitative measurement results supported that both of the implants could effectively correct nasal deformities.Conclusions Both of the implants could effectively correct nasal deformities of unilateral cleft lip in secondary rhinoplasties.The quantitative measurement is a scientific approach to evaluate the outcome.
RESUMEN
The correction of unilateral cleft lip nasal deformity is a challenging task. Many different technique to correct this deformity. The V shape incision was made at the columella and alar web. Lower lateral cartilage on cleft site was sutured to the upper cartilage and lower cartilage on non-cleft site. The incision was closed in V-Y fashion. Thirty-two patients (20 females, 12 males) were operated on during 1997-2000. All the patients were satisfied with the results. Five patients needed more correction. No complication was founded. All scars were un-noticeable.