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A Comparative Study of the Medial Crura of Alar Cartilages in Unilateral Secondary Cleft Nasal Deformity: The Validity of Medial Crus Elevation

Kim, Young Seok MD, MSc*; Cho, Hyun Woo MD*; Park, Be-Young Yun MD, PhD*; Jafarov, Murod MD

doi: 10.1097/SAP.0b013e318168db1c
Head and Neck Surgery

The purpose of this study was to confirm whether the medial crus on the cleft side is primarily hypoplastic compared with the noncleft side and to evaluate the displacement of the medial crus on the cleft side presenting the validity of the “medial crus elevation” method. Thirty unilateral cleft lip nasal deformity patients underwent medial crus elevation. The thickness, width, and length of the medial crus on both sides were measured. The difference in the height of both foot plates was also measured. There were no significant differences between the cleft and noncleft sides in width, thickness, or length except proximal thickness. The foot plate on the cleft side was displaced downward. The medial crus on the cleft side is not hypoplastic, and it is merely displaced downward. These results show the validity of the medial crus elevation method for the correction of secondary nasal deformities in cleft patients.

From the *Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University, College of Medicine, Seoul, Korea; and †Department of Plastic Surgery, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan.

Received August 17, 2007 and accepted for publication, after revision, January 8, 2008.

None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this article.

Reprints: Be-young Yun Park, MD, PhD, Department of Plastic and Reconstructive Surgery, Yonsei Medical Center, Yonsei University College of Medicine, 134 Shinchon-Dong, Seodaemun-Gu Seoul, Korea. E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.