Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair
Background Various techniques for lengthening short columellae have been used for bilateral cleft nose repair. However, previous methods have not yielded satisfactory results. We performed a full-thickness skin graft to lengthen short columellae during secondary cleft nose repair in adult patients....
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2015-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2015.42.6.704 |
| _version_ | 1798037711994486784 |
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| author | Yoon Seok Lee Dong Hyeok Shin Hyun Gon Choi Jee Nam Kim Myung Chul Lee Soon Heum Kim Cheol Keun Kim Dong In Jo Ki Il Uhm |
| author_facet | Yoon Seok Lee Dong Hyeok Shin Hyun Gon Choi Jee Nam Kim Myung Chul Lee Soon Heum Kim Cheol Keun Kim Dong In Jo Ki Il Uhm |
| author_sort | Yoon Seok Lee |
| collection | DOAJ |
| description | Background Various techniques for lengthening short columellae have been used for bilateral cleft nose repair. However, previous methods have not yielded satisfactory results. We performed a full-thickness skin graft to lengthen short columellae during secondary cleft nose repair in adult patients.
Methods Ten bilateral cleft lip and nose patients underwent secondary cheiloplasty with open rhinoplasty between July 2008 and August 2014. The patients underwent a full-thickness skin graft on the medial crura to elongate the columella. The average age of the patients at the time of surgery was 22.2 years. Nasal profiles were evaluated before and after the operation using the photogrammetric method.
Results The nasal profiles were improved in all patients, and all skin grafts were well taken, with the exception of one patient. Columellar height, nostril height, and columella-lip angle increased, and nasal width decreased significantly. The ratios of columellar height to nasal height, columellar height to nasal width, and nasal height to nasal width increased to a statistically significant extent.
Conclusions Columella lengthening with a full-thickness skin graft is a simple and effective method for the repair of severely short columellae in bilateral cleft nose patients. We had satisfactory outcomes, with good color matching and aesthetically pleasing contours. |
| first_indexed | 2024-04-11T21:30:17Z |
| format | Article |
| id | doaj.art-5f679526a9ec402e81aa3f69eb997ea0 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T21:30:17Z |
| publishDate | 2015-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-5f679526a9ec402e81aa3f69eb997ea02022-12-22T04:02:01ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712015-11-01420670470810.5999/aps.2015.42.6.704595Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose RepairYoon Seok Lee0Dong Hyeok Shin1Hyun Gon Choi2Jee Nam Kim3Myung Chul Lee4Soon Heum Kim5Cheol Keun Kim6Dong In Jo7Ki Il Uhm8Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, KoreaDepartment of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, KoreaBackground Various techniques for lengthening short columellae have been used for bilateral cleft nose repair. However, previous methods have not yielded satisfactory results. We performed a full-thickness skin graft to lengthen short columellae during secondary cleft nose repair in adult patients. Methods Ten bilateral cleft lip and nose patients underwent secondary cheiloplasty with open rhinoplasty between July 2008 and August 2014. The patients underwent a full-thickness skin graft on the medial crura to elongate the columella. The average age of the patients at the time of surgery was 22.2 years. Nasal profiles were evaluated before and after the operation using the photogrammetric method. Results The nasal profiles were improved in all patients, and all skin grafts were well taken, with the exception of one patient. Columellar height, nostril height, and columella-lip angle increased, and nasal width decreased significantly. The ratios of columellar height to nasal height, columellar height to nasal width, and nasal height to nasal width increased to a statistically significant extent. Conclusions Columella lengthening with a full-thickness skin graft is a simple and effective method for the repair of severely short columellae in bilateral cleft nose patients. We had satisfactory outcomes, with good color matching and aesthetically pleasing contours.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2015.42.6.704cleft lipnoseskin transplantation |
| spellingShingle | Yoon Seok Lee Dong Hyeok Shin Hyun Gon Choi Jee Nam Kim Myung Chul Lee Soon Heum Kim Cheol Keun Kim Dong In Jo Ki Il Uhm Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair Archives of Plastic Surgery cleft lip nose skin transplantation |
| title | Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair |
| title_full | Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair |
| title_fullStr | Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair |
| title_full_unstemmed | Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair |
| title_short | Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair |
| title_sort | columella lengthening with a full thickness skin graft for secondary bilateral cleft lip and nose repair |
| topic | cleft lip nose skin transplantation |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2015.42.6.704 |
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