title: Unilateral cleft nasal deformity correction using conchal cartilage lily flower graft.
abstract: We present a conchal cartilage lily flower graft for correcting depressed and laterally displaced alar cartilage for correction of unilateral cleft nasal deformity.After making a V incision at the base of the columellar and then marginal incisions, the alar cartilages were exposed. A fusiform-shaped cartilage larger than 2.5 cm in length and 1 cm in width was obtained. The midline long axis was scored with a No. 15 knife, and the lateral one third was split. Two-thirds length portions were folded in half, and they became straightened in the shape of a stalk of a lily flower. Two symmetrical one-third length portions were fanned out bilaterally in the shape of the leaf of a lily flower. The stalk portion was positioned in a pocket between the medial crura, and the 2 leaf portions were placed on the dome of the alar cartilages. The marked points of the cleft side and contralateral side were secured with sutures. The V incision at the base of the columellar and the marginal incisions were closed with a V-Y shape. In this technique, the 2 leaf portions were placed on the dome of the alar cartilages and sutured; therefore, the suture holds the dome of the cleft side to the contralateral side without peaking.Thirteen patients (6 male and 7 female subjects; age range, 13-30 years) were operated. Among them, 6 patients were very satisfied, and 5 patients were satisfied with the results. Two patients felt they were improved.We think the conchal cartilage lily flower graft might be a good method for correction of depressed and laterally displaced alar cartilage in unilateral cleft nasal deformity.
authors.affiliation: Department of Plastic Surgery and the Center for Advanced Medical Education by the BK21 Project, Incheon, Korea.
authors.forename: Kun
authors.initials: K
authors.lastname: Hwang
authors.forename: Han Joon
authors.initials: HJ
authors.lastname: Kim
authors.forename: Moo Hyun
authors.initials: MH
authors.lastname: Paik
mesh_terms: D000293:Adolescent; D000328:Adult; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D055171:Nasal Cartilages / Q000637:transplantation*; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome