Browse > Article

Tip Plasty using Biodegradable Plate as a Columella Strut  

Kim, Soo-Young (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Lee, Soo-Hyang (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Hwang, Eun-A (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Choi, Hyun-Gon (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Kim, Soon-Heum (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Shin, Dong-Hyeok (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Uhm, Ki-Il (Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University)
Publication Information
Archives of Plastic Surgery / v.37, no.3, 2010 , pp. 259-264 More about this Journal
Abstract
Purpose: Most surgeons have used autogenous cartilage for columella strut graft. But the supply of autogenous cartilage is often limited. So, this study is to investigate the usefulness of biodegradable plate as columella strut material. Methods: We studied 19 patients who have secondary cleft nasal deformity. Patients were divided into two groups. Group A patients who were not closed their growth plate underwent columella strut graft only with biodegradable plate through endonasal approach. The biodegradable plate was inserted between nasal tip and anterior nasal spine. Group B patients were closed their growth plate. They had an operation for columella strut graft with biodegradable plate fixed with autogenous conchal cartilage. If nasal tip projection was insufficient, we performed additionally onlay graft on nasal tip with autogenous soft tissue or remnant cartilage. Results: As a result of mean 14 months follow-up, we achieved a good nasal tip projection, narrowing of interalar distance and symmetrical nostril shape. No specific complications were reported except 2 cases, which were the extrusion of biodegradable plate into the nasal cavity and Staphylococcus aureus infection. Conclusion: The columella strut graft using biodegradable plate is simple and effective method. Biodegradable plate can be a good substitute for columella strut in patients who can not use autogenous cartilages.
Keywords
Rhinoplasty; Biodegradable implants; Strut graft;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Verma D, Peltomaki T, Jager A: Reliability of growth prediction with hand-wrist radiographs. Eur J Orthod 31: 438, 2009   DOI   ScienceOn
2 Losken HW, van Aalst JA, Monney MP, Godfrey VL, Burt T, Teotia S, Dean SB, Moss JR, Rahbar R: Biodegradation of lnion fast-absorbing biodegradable plates and screws. J Craniofac Surg 19: 748, 2008   DOI   ScienceOn
3 Romo T, McLaughlin LA, Levine JM, Sclafani AP: Nasal implants: Autogenous, semisynthetic, and synthetic. Facial Plast Surg Clin North Am 10: 155, 2002   DOI   ScienceOn
4 Maas CS, Monhian N, Shah SB: Implants of rhinoplasty. Facial Plast Surg 13: 279, 1997   DOI   ScienceOn
5 Takato T, Yonehara Y, Susami T: Columella lengthening using a cartilage graft in the bilateral cleft lip-associated nose: Choice of cartilage according to age. J Oral Maxillofac Surg 53: 149, 1995   DOI   ScienceOn
6 Suuronen R, Pohjonen T, Hietanen J, Lindqvist C: A 5-year in vitro and in vivo study of the biodegradation of polylactide plates. J Oral Maxillofac Surg 56: 604, 1998   DOI   ScienceOn
7 Bruner TW, Boyd V, Stal S, Hollier LH: Chap. 31 Correction of secondary cleft lip and nose deformity. Loose JE, Kirschner RE (eds): Comprehensive cleft care. China, McGraw-Hill companies, Inc., 2008, p 493
8 Guyuron B: MOC-PS (SM) cmE article: Late cleft lip nasal deformity. Plast Reconstr Surg 121: 1, 2008
9 Verwoerd CD, Urbanus NA, Nijdam DC: The effects of septal surgery on the growth of nose and maxilla. Rhinology 17: 53, 1979
10 Han SK, Lee DG, Kim JB, Kim WK: An anatomic study of nasal tip supporting structures. Ann Plast Surg 52: 134, 2004   DOI   ScienceOn
11 Garry JI, O'Leary K, Gabbay JS, Urrego AF, Heller JB, O'Hara cm, Tuchman M, Bradley JP: Improved nasal tip projection in the treatment of bilateral cleft nasal deformity. J Craniofac Surg 16: 834, 2005   DOI   ScienceOn
12 Koh KS, Ock JJ: Columella lengthening using the interdigitation of triangular flaps. Aesthetic Plast Surg 26: 78, 2002   DOI   ScienceOn
13 Glasgold AI: The technique and clinical application of the columella strut. Laryngoscope 98: 789, 1988