Skip Navigation LinksHome > November 2012 - Volume 23 - Issue 6 > Unilateral Cleft Nasal Deformity Correction Using Conchal Ca...
Journal of Craniofacial Surgery:
doi: 10.1097/SCS.0b013e3182668423
Clinical Studies

Unilateral Cleft Nasal Deformity Correction Using Conchal Cartilage Lily Flower Graft

Hwang, Kun MD, PhD*; Kim, Han Joon MD; Paik, Moo Hyun MD, PhD‡§

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Abstract

Abstract: We present a conchal cartilage lily flower graft for correcting depressed and laterally displaced alar cartilage for correction of unilateral cleft nasal deformity.

After making a V incision at the base of the columellar and then marginal incisions, the alar cartilages were exposed. A fusiform-shaped cartilage larger than 2.5 cm in length and 1 cm in width was obtained. The midline long axis was scored with a No. 15 knife, and the lateral one third was split. Two-thirds length portions were folded in half, and they became straightened in the shape of a stalk of a lily flower. Two symmetrical one-third length portions were fanned out bilaterally in the shape of the leaf of a lily flower. The stalk portion was positioned in a pocket between the medial crura, and the 2 leaf portions were placed on the dome of the alar cartilages. The marked points of the cleft side and contralateral side were secured with sutures. The V incision at the base of the columellar and the marginal incisions were closed with a V-Y shape. In this technique, the 2 leaf portions were placed on the dome of the alar cartilages and sutured; therefore, the suture holds the dome of the cleft side to the contralateral side without peaking.

Thirteen patients (6 male and 7 female subjects; age range, 13–30 years) were operated. Among them, 6 patients were very satisfied, and 5 patients were satisfied with the results. Two patients felt they were improved.

We think the conchal cartilage lily flower graft might be a good method for correction of depressed and laterally displaced alar cartilage in unilateral cleft nasal deformity.

© 2012 Mutaz B. Habal, MD

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