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.
Takato
T
T
Department of Oral Surgery, Faculty of Medicine, University of Tokyo, Japan.
Harii
K
K
Yonehara
Y
Y
Komuro
Y
Y
Susami
T
T
Uoshima
K
K
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*