Correction of secondary nasal deformity of cleft lip with autogenous costal cartilage framework

Objective To investigate the correction of secondary nasal deformity of cleft lip with autogenous costal cartilage framework.Methods 237 cases with secondary nasal deformity of unilateral cleft lip were treated.The rib cartilage was harvested through a mini-invasive incision,and was fabricated as a C-shaped framework,as well as some cartilage fragments.Through transcolumella incision,the C-shaped framework was implanted to support the depressed alar and the cartilage fragments were used to augment the nasal base.Results Satisfactory cosmetic and functional results were achieved in all the patients with primary healing.93 patients were followed up one year after operation with good cosmetic results.Conclusions Autogenous costal cartilage framework can be used for the correction of secondary nasal deformity of cleft lip with satisfactory results. Key words: Cleft lip;  Nasal deformity;  Cartilage transplantation