title: Correction of cleft lip nose deformity with rib cartilage.
abstract: BACKGROUND
  Correction of cleft lip nasal deformities (CLND) is often unsatisfactory because of problems resulting from cartilage weakness and strong soft tissue forces. Therefore, strong cartilaginous support, such as rib cartilage, is mandatory.
  
  
  OBJECTIVE
  The authors describe placement of rib cartilage grafts to create a more symmetric and aesthetically acceptable repair of CLND with improved nasal air flow.
  
  
  METHODS
  Two groups of patients, including those with unilateral and bilateral CLND, underwent operations with different sources of autologous cartilage. Group 1 received grafts from the septum and ear, whereas group 2 received grafts from the septum and ribs. Results were evaluated by 2 independent physicians who rated improvement between pre- and postoperative photographs.
  
  
  RESULTS
  There were significant differences in postoperative improvement between patients who received septal/ear cartilage grafts and those who received septal/rib cartilage grafts in both unilateral and bilateral cases (P = .028 and P = .043, respectively).
  
  
  CONCLUSIONS
  The authors' results demonstrate that rib cartilage has a positive effect on the aesthetic outcome of CLND operations and provides a strong support structure for correcting this deformity with minimal postoperative complications.
authors.affiliation: Tehran University of Medical Sciences, Tehran, Iran. info@drhafezi.com
authors.forename: Farhad
authors.initials: F
authors.lastname: Hafezi
authors.forename: Bijan
authors.initials: B
authors.lastname: Naghibzadeh
authors.forename: Abbas Kazemi
authors.initials: AK
authors.lastname: Ashtiani
authors.forename: S Jaber
authors.initials: SJ
authors.lastname: Mousavi
authors.forename: Amir Hossein
authors.initials: AH
authors.lastname: Nouhi
authors.forename: Ghazal
authors.initials: G
authors.lastname: Naghibzadeh
mesh_terms: D002356:Cartilage / Q000637:transplantation*; D002971:Cleft Lip / Q000175:diagnosis / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D009668:Nose Diseases / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods; D012272:Ribs / Q000601:surgery*; D018570:Risk Assessment; D014182:Transplantation, Autologous; D016896:Treatment Outcome
keywords: cartilage graft; cleft lip nose; rhinoplasty; rib cartilage