• Maxillofacial Plastic and Reconstructive Surgery
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• v.16 no.4
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• pp.390-395
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• 1994

The author evaluated the nasal asymmetry after primary operations in the patients with unilateral cleft lip using full face photographs. The results are as follows : 1. Nasal deviation angle is average 2.98+3.01 degree(ranged from 0 to 10 degree), significantly different from control group(p<0.05). 2. Nasal deviation angle is average 5.1% when inter-medial canthal distance is 100%, significantly different from control group(p<0.05). 3. Difference in nostril size between cleft and noncleft side is 2.1% when inter-medial canthal distance is 100%, significantly different from control group(p<0.05). 4. Nasal attractiveness analysis shows higher points in difference in nostril size, nasal deviation, nasal form in that order. 5. Nasal asymmetry after primary operations in the patients with unilateral cleft lip using full face photographs is related with Nasal deviation angle, Nasal deviation distance and Difference in nostril size between cleft and noncleft side.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.31 no.4
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• pp.350-355
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• 2005

There are various surgical methods for reconstruction of the nasal defect. Among them, there is some difference in the choosing the proper reconstruction method according to defect size and position. When the defect involved the tip, the columella, and the alar, the local flaps may be preferred, because they can provide sufficient amount of tissue. However, the composite grafts from the ear have been effectively used in reconstructions of smaller sized defects of the columella and ala. We excised total external nose because of squamous cell carcinoma on the nasal tip, columella, and nasal septum. We reconstructed the nasal tip, both alae, and columella with forehead flap. After division of the regional flap, we found partial necrosis of the columella and narrowness of the nostril. So, we used chondrocutaneous auricular composite grafts for reconstruction of the columella and both nostrils. We used the file-folder designed auricular composite graft for reconstruction of columella and the wedge shaped ear helical composite grafts for widening of nostrils. 6 months later, there were no significant problems, except some mismatched dark color in the grafted alar tissues. Here, we report a successful reconstruction of large nasal defect using combined two different reconstructive methods.