title: Diced cartilage rhinoplasty technique for cleft lip patients.
abstract: BACKGROUND
  Late warping of dorsal cartilage onlay grafts is a problematic complication of current secondary rhinoplasty techniques in cleft lip patients.
  
  
  METHODS
  From May 2005 to December 2008, a total of 282 cleft patients had a secondary rhinoplasty performed at our center with a modified diced cartilage technique. Finely diced cartilage was injected over a cartilage framework, and no "sleeve" was used. Of those patients, 246 with a follow-up of more than 6 months were included in this retrospective study.
  
  
  RESULTS
  The infection rate was 7.7%. In addition, 5.7% of patients complained of a bulbous tip. Cartilage warping, as seen with classic en bloc grafting of the dorsum, did not occur. Dorsal irregularity was seen in 8.5% of cases, and grafts were visible in 1.2% of cases. The reoperation rate was 8.1%.
  
  
  CONCLUSIONS
  This technique has greatly reduced the late cartilage warping seen with the classic cartilage bloc dorsal augmentation. Complications are low, comparable in occurrence to other techniques, and are easily manageable, making it our technique of choice.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Graduate Institute of Clinical Medical Sciences, Chang Gung University, Linkou, Taoyuan, Taiwan.
authors.forename: Chun-Shin
authors.initials: CS
authors.lastname: Chang
authors.forename: Léonard
authors.initials: L
authors.lastname: Bergeron
authors.forename: Philip Kuo-Ting
authors.initials: PK
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012272:Ribs / Q000601:surgery; D014182:Transplantation, Autologous; D016896:Treatment Outcome