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- Title
Cartilage Grafting Outcomes in Intermediate and Definitive Cleft Rhinoplasty.
- Authors
Pagan, Angel D.; Sterling, David A.; Andrews, Brian T.
- Abstract
Objective: To compare cartilage grafting outcomes in intermediate versus definitive cleft rhinoplasty. Design: A retrospective chart review was conducted. The χ2 and Fisher exact tests were used for statistical analyses. Results were considered statistically significant at P <.05. Participants: All subjects who underwent revision cleft rhinoplasties between July 2011 and June 2019 were included. Subjects with syndromic conditions were excluded. Results: A total of 46 subjects with a cleft nose deformity underwent 65 rhinoplasty procedures. The ages averaged 17 years (range 5-50) with 34 (73.9%) males and 12 (26.1%) females. In the intermediate group, 6 (28.6%) subjects required cartilage grafting as part of 6 cleft rhinoplasties, whereas 15 (71.4%) subjects underwent a total of 26 cleft rhinoplasties that did not require grafting. In the definitive group, 18 (76%) subjects required cartilage grafting over 21 cleft rhinoplasties, whereas 7 (24%) subjects underwent a total of 9 cleft rhinoplasties where cartilage grafting was not required. The difference between the number of subjects requiring cartilage grafting in the intermediate versus the definitive group was statistically significant (P =.007). Ear concha and nose were the most frequently used cartilage donor sites, with no observed complications. Conclusions: Cartilage grafting was significantly more common in the definitive rhinoplasty group. Intermediate cleft rhinoplasty during the 5- to 13-year age period was effective, with a low-risk profile. In our experience, ear concha and nose were the preferred cartilage donor sites, with effective results and an excellent safety profile.
- Subjects
CARTILAGE transplantation; RHINOPLASTY; ACQUISITION of data methodology; PLASTIC surgery; RETROSPECTIVE studies; FISHER exact test; TREATMENT effectiveness; MEDICAL records; CHI-squared test; DESCRIPTIVE statistics
- Publication
Cleft Palate Craniofacial Journal, 2021, Vol 58, Issue 8, p974
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1177/1055665620980228