Correction of the cleft nasal deformity with an L-shaped iliac bone graft.
We describe our technique for correcting a cleft lip nasal deformity using L-shaped iliac bone grafts to achieve additional structural support and the desired nasal projection and profile. Augmenting the nasal bridge creates the illusion of a narrower nose. Further, the columellar portion of the L-shaped graft provides stabilization, eliminating the "see-saw" effect of the bridge graft on the fulcrum of the bony bridge, which can lead to a depressed tip and loss of the root indentation. Clinical and radiographic observation has revealed that this method of correction has consistently produced satisfactory results.
Department of Oral Surgery, Faculty of Medicine, University of Tokyo, Japan.
T
T
Takato
K
K
Harii
Y
Y
Yonehara
Y
Y
Komuro
T
T
Susami
K
K
Uoshima
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D007085:Ilium; D008297:Male; D009666:Nose / Q000002:abnormalities*; D012225:Rhinoplasty / Q000379:methods*