costal cartilage Graft combination with V-Y composite chondromucosal Advancement Flap for correction Unilateral cleft Lip Nasal Deformity Ali Ali Adwal1,*, Qassim Yasir Naif2 1Department of Surgery, College of Medicine, University of Kirkuk, Kirkuk, Iraq 2Department of Surgery, College of Medicine, University of Baghdad, Baghdad, Iraq *Corresponding Author: Ali Adwal Ali, Department of Surgery, College of Medicine, University of Kirkuk, Kirkuk, Iraq Email: aliadwal@gmail.com
Online published on 13 November, 2019. Abstract Background Cleft lip nasal deformity is a complex deformity that involves nasal skeleton and soft tissue envelop. This study attempts to improve suboptimal results. Aim The main goal of this work is to correct the nasal shape to be relatively normal. Patients and Method The sample consisted of (25) patients who have post cleft lip nose deformity. The patients have repaired unilateral cleft lip in infancy but still have a nasal deformity. This study was done during the period from March 2013 to March 2018 using a combination of chondromucosal advancement flap and costal cartilage graft. The patients selected were (17) females and (8) males whose ages ranged between 18 to 28 years. Result The study was conducted on patients with post cleft lip nasal deformity in order to obtain a relatively normal-looking nose. Costal cartilage graft was applied to all patients. The good-looking outcome was achieved from the combination of V-Y chondromucosal flap and costal cartilage graft. Conclusion V-Y chondromucosal flap when combined with a tough and rich source of cartilage, such as costal cartilage, will increase the rate of patient's satisfaction. Top Keywords Cleft lip nose, Costal, Cartilage graft, Chondromucosal flap. Top |