Augmentation Rhinoplasty by Using L-Shaped Auricular Cartilage Framework Combined with Dermal-Fat Graft for Cleft Lip Nose

  • Nakakita Nobuaki
    Department of Plastic and Reconstructive Surgery, Kitasato University School of Medicine
  • Sezaki Kouichirou
    Department of Plastic and Reconstructive Surgery, Kitasato University School of Medicine
  • Yamazaki Yasuharu
    Department of Plastic and Reconstructive Surgery, Kitasato University School of Medicine
  • Uchinuma Eiju
    Department of Plastic and Reconstructive Surgery, Kitasato University School of Medicine

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説明

We prepared an L-shaped framework using autogenous auricular cartilage, and combined this with dermal-fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, we obtained from our method a strong columella strut and nasal dorsum augmentation at the same time. Dermal-fat graft provided camouflage for cartilage irregularities, and was useful for increasing graft volume. Although absorption caused decreased volume to a certain extent, there were no other complications such as cyst formation, and natural nasal contour was achieved in all patients.

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  • 北里医学

    北里医学 29 (1), 13-18, 1999-02-28

    北里大学

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