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Septal Integration Graft, a Modified Direct Type of Septal Extension Graft for the Treatment of Unilateral Cleft Lip Nose Deformity: An Anthropometric Analysis

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Author(s)
Kihwan HanMinwoo ParkTaehyun ChoiJaehoon ChoiJunhyung KimDaegu SonWoonhyeok Jeong
Keimyung Author(s)
Han, Ki HwanChoi, Jae HoonKim, Jun HyungSon, Dae GuJeong, Woon Hyeok
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Annals of Plastic Surgery
Issued Date
2020
Volume
84
Issue
1
Keyword
cleft liprhinoplastynasal septumanthropometry
Abstract
Background:
The purpose of this study was to evaluate the cosmetic outcomes and stability of septal integration grafts (SIGs), a modified direct type of septal extension graft, in patients with cleft lip nose deformity.

Methods:
Seventy-three patients underwent SIGs between January 2002 and July 2017. The exclusion criteria were patients who lacked clinical photographs preoperatively or postoperatively. We reviewed data regarding the patient demographics, combined procedures, and complications as well as preoperative and postoperative clinical photography. Eleven measurement items were evaluated from basal and right lateral views with photogrammetry and 3-dimensional anthropometry using standardized clinical photographic techniques.

Results:
Sixty-one patients were analyzed in this study. Twelve patients were excluded owing to a lack of postoperative photographs. The mean +/- SD follow-up period was 26.70 +/- 29.43 months (range, 6-134 months). Compared with the preoperative value, the nasal tip projection index, height of nose index, and nostril axis inclination significantly improved. The columellar length (Rt-Lt) index significantly decreased, which implied improved columellar deviation. Complications included hematoma (n = 1), wound dehiscence (n = 1), tearing of septal mucosa (n = 3), and silicone implant deviation (n = 2).

Conclusions:
We used SIGs to correct nasal deformity in patients with cleft lip nose deformity. The SIG can minimize the amount of the graft used for septal extension and can effectively correct nasal tip and columella deformities.
Keimyung Author(s)(Kor)
한기환
최재훈
김준형
손대구
정운혁
Publisher
School of Medicine (의과대학)
Citation
Kihwan Han et al. (2020). Septal Integration Graft, a Modified Direct Type of Septal Extension Graft for the Treatment of Unilateral Cleft Lip Nose Deformity: An Anthropometric Analysis. Annals of Plastic Surgery, 84(1), 47–52. doi: 10.1097/SAP.0000000000002118
Type
Article
ISSN
0148-7043
Source
http://ovidsp.dc2.ovid.com/sp-4.07.0b/ovidweb.cgi?QS2=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
DOI
10.1097/SAP.0000000000002118
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42723
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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