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Unilateral Cleft Nasal Deformity Correction Using Conchal Cartilage Lily Flower Graft

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

doi: 10.1097/SCS.0b013e3182668423
Clinical Studies

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.

From the *Department of Plastic Surgery and the Center for Advanced Medical Education by the BK21 Project, and †Department of Plastic Surgery, Inha University School of Medicine, Incheon; ‡101 Aesthetic Plastic Surgical Clinic, Seoul; and §Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

Received May 11, 2012.

Accepted for publication June 25, 2012.

Address correspondence and reprint requests to Dr Moo Hyun Paik, 101 Aesthetic Plastic Surgical Clinic, 3F, Misan Building, 100-2 Cheongdam-dong, Gangnam-gu, 135-956, Seoul, Korea; E-mail: mhpaik305@naver.com

This study was supported by a grant from the National Research Foundation of Korea (KRF 2008-521-E00002).

The authors report no conflicts of interest.

© 2012 Mutaz B. Habal, MD