Clinical efficacy of novel ‘umbrella’ autogenous graft in secondary cleft rhinoplasty / 中华医学美学美容杂志

ABSTRACT

Objective To observe the effects of a novel type ‘umbrella’ graft in secondary cleft rhinoplasty.Methods 38 secondary cleft patients with moderate to severe nasal deformity that were older than 16 years in our department from September 2013 to March 2016 were received rhinoplasty with novel type ‘umbrella’ graft.Nasal augmentation and piriformaperture filling with autologous rib cartilage was applied in patients with saddle nose or nasal base depression.The appearance and patient's satisfaction were assessed at 6 months after surgery.Results There were no complications such as infection,hematoma and graft exposure in all 38 patients with rhinoplasty.The nasal tip,dorsum,nostril and nasal base were improved significantly 6 months after surgery.Especially the nasal tip and nostril,most of them,became almost normal.The patients' self-evaluation of the appearance and function were satisfying.Conclusions The novel type ‘umbrella’ graft can improve the deformity of cleft nose significantly,especially the appearance of the nose tip and nostril,which is a reliable method.