Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair

Background Various techniques for lengthening short columellae have been used for bilateral cleft nose repair. However, previous methods have not yielded satisfactory results. We performed a full-thickness skin graft to lengthen short columellae during secondary cleft nose repair in adult patients. Methods Ten bilateral cleft lip and nose patients underwent secondary cheiloplasty with open rhinoplasty between July 2008 and August 2014. The patients underwent a full-thickness skin graft on the medial crura to elongate the columella. The average age of the patients at the time of surgery was 22.2 years. Nasal profiles were evaluated before and after the operation using the photogrammetric method. Results The nasal profiles were improved in all patients, and all skin grafts were well taken, with the exception of one patient. Columellar height, nostril height, and columella-lip angle increased, and nasal width decreased significantly. The ratios of columellar height to nasal height, columellar height to nasal width, and nasal height to nasal width increased to a statistically significant extent. Conclusions Columella lengthening with a full-thickness skin graft is a simple and effective method for the repair of severely short columellae in bilateral cleft nose patients. We had satisfactory outcomes, with good color matching and aesthetically pleasing contours.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft Lip and Nose Repair ; volume:42 ; number:06 ; year:2015 ; pages:704-708
Archives of Plastic Surgery ; 42, Heft 06 (2015), 704-708

Beteiligte Personen und Organisationen
Lee, Yoon Seok
Shin, Dong Hyeok
Choi, Hyun Gon
Kim, Jee Nam
Lee, Myung Chul
Kim, Soon Heum
Kim, Cheol Keun
Jo, Dong In
Uhm, Ki Il

DOI
10.5999/aps.2015.42.6.704
URN
urn:nbn:de:101:1-2022062310373423027762
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:22 MESZ

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Beteiligte

  • Lee, Yoon Seok
  • Shin, Dong Hyeok
  • Choi, Hyun Gon
  • Kim, Jee Nam
  • Lee, Myung Chul
  • Kim, Soon Heum
  • Kim, Cheol Keun
  • Jo, Dong In
  • Uhm, Ki Il

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