Department of Oral and Maxillofacial Surgery, The Third Hospital of Hebei Medical University.
Department of Oral and Maxillofacial Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
J Craniofac Surg. 2021;32(2):744-748. doi: 10.1097/SCS.0000000000007472.
Although costal cartilage has many uses and is a reliable source of cartilage for rhinoplasty procedures, donor-site complications may arise with conventional harvesting techniques. The present report reports a novel technique of harvesting costal cartilage using a specially designed scalpel and studies the use of the harvested cartilage in the reconstruction of secondary nasal deformities in patients with cleft lips.
Ten patients (7 females and 3 males) with nasal deformities secondary to cleft lip underwent rhinoplasty using this new technique at the Department of Oral and Maxillofacial Surgery, Second Hospital of Hebei Medical University, China, between May 2011 and December 2013. Clinical outcomes were evaluated with a follow-up period of 6 to 30 months.
The new technique successfully corrected primary nasal deformities, including flat nasal tip, short columella, flaring alae, and asymmetrical nostrils. Surgeons and patients assessed the outcome to be either good or satisfactory. Patients experienced transient discomfort at the wound site but there were no major complications (such as wound infection, dehiscence, exposure, graft extrusion, and pulmonary involvement).
The novel technique can harvest a lateral segment of costal cartilage for use in the reconstruction of nasal deformities secondary to cleft lip in a one-stage procedure, with minimal donor-site morbidity.
尽管肋软骨有许多用途，并且是鼻整形手术中可靠的软骨来源，但传统的采集技术可能会引起供区并发症。本报告介绍了一种使用特制手术刀采集肋软骨的新方法，并研究了在唇裂患者继发鼻畸形重建中使用采集的软骨的情况。
中国河北医科大学第二医院口腔颌面外科于 2011 年 5 月至 2013 年 12 月，采用该新技术对 10 例（7 名女性，3 名男性）继发于唇裂的鼻畸形患者进行了鼻整形术。术后随访 6 至 30 个月，评估临床疗效。
新技术成功矫正了原发性鼻畸形，包括鼻尖扁平、鼻中隔短、鼻翼外扩和鼻孔不对称。术者和患者均评估结果为良好或满意。患者仅在伤口处有短暂不适，但无重大并发症（如伤口感染、裂开、暴露、移植物脱出和肺部受累）。
该新技术可在一期手术中采集肋软骨的外侧段，用于重建唇裂继发的鼻畸形，供区并发症少。
