Clinical StudiesAnthropometric Analysis of Secondary Cleft Lip Rhinoplasty Using Costal Cartilage GraftTalaat, Wael M. PhD*,†; Ghoneim, Mohamed M. PhD‡; El-Shikh, Yasser M. MD§; Elkashty, Sherif I. MD§; Ismail, Mohammed A.G. MD¶; Keshk, Tarek F.A. MD§Author Information *Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, UAE †Department of Oral and Maxillofacial Surgery, Suez Canal University, Ismailia ‡Department of Oral and Maxillofacial surgery, Faculty of Dentistry, Sinai University, Arish §Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Menofiua University, Menoufia ¶Department of Plastic and Reconstructive Surgery, Mehalla El-kobra General Hospital, Gharbia, Egypt. Address correspondence and reprint requests to Wael M. Talaat, PhD, Oral and Maxillofacial Surgery, College of Dental Medicine, University of Sharjah, University Dental Hospital Sharjah, Office F125, P.O. Box: 27272, UAE; E-mail: firstname.lastname@example.org Received 15 February, 2019 Accepted 24 May, 2019 The authors report no conflicts of interest. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com). Journal of Craniofacial Surgery: November-December 2019 - Volume 30 - Issue 8 - p 2464-2468 doi: 10.1097/SCS.0000000000005784 Buy SDC Metrics Abstract Despite the improvement of primary repair of nasal deformities during the management of cleft lip in infancy, this does not exclude the need for revision rhinoplasty in adulthood for complete patients’ rehabilitation. The purpose of this study was to evaluate the aesthetic outcome of secondary rhinoplasty using costal cartilage grafts in patients with unilateral cleft lip nasal deformity. Twenty patients who were operated at earlier ages for correction of cleft lip and had a residual unilateral cleft lip nasal deformity were included in this study. Costal cartilage rib grafts were harvested; carved and used for maxillary augmentation, columellar strut graft, and lateral crural strut graft. Five anthropometric measurements (nostril height, width and gap area, columellar axis deviation angle and nasal base inclination angle) were used for evaluation of aesthetic results. The ratio of nostril width, height and gap area between the cleft side and the non-cleft side showed significant improvement (P <0.05). The columellar axis deviation showed significant improvement towards the midline (P = 0.004), and the alar base inclination showed improvement towards the horizontal line (P = 0.0045). In conclusion, the aesthetic outcomes of secondary cleft lip rhinoplasty using the costal cartilage are satisfactory. The costal cartilage has the required strength, is easily carved and maintains shape for considerable time. © 2019 by Mutaz B. Habal, MD.