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. 2017 Oct;14(4):3549-3554.
doi: 10.3892/etm.2017.4994. Epub 2017 Aug 22.

The effects of Y-shaped conchal cartilage transplantation on the correction of nasal deformity secondary to cleft lip and its influence on mental health

Ling Liu  1 , Wei Wang  2 , Lin Yang  2 , Hongchuang Zhang  3
Affiliations

The effects of Y-shaped conchal cartilage transplantation on the correction of nasal deformity secondary to cleft lip and its influence on mental health

Ling Liu et al. Exp Ther Med. 2017 Oct.

Abstract

Patients who undergo corrective surgery for cleft lip are known to be at risk for subsequently developing secondary nasal deformity. The aim of this study was to investigate the effects of Y-shaped conchal cartilage transplantation on the correction of nasal deformity secondary to cleft lip and its influence on mental health. Sixteen patients with nasal deformity secondary to cleft lip admitted to The First People's Hospital Xuzhou (Xuzhou, China) from February 2014 to February 2015 were selected for the study. Conchal cartilage was taken from the patients and made into a Y-shaped stent, which was then transplanted into the nasal columella. The surgical outcomes and patient satisfaction were evaluated and HADS was used to compare the preoperative and postoperative mental health. After the affected side of the nose was corrected, the nasal profiles of 12 patients were significantly improved, the height of nasal columella and nostril was significantly increased, the nasal base and breadth were significantly shorter than those before operation and the nose wing-nasal breadth index on the affected side was significantly increased compared to that before operation and the differences were statistically significant (P<0.05). The satisfaction of each index after the operation was more than 90%. The mental health of patients after operation was notably improved compared to before operation and the difference was statistically significant (P<0.05). After the correction of secondary nasal deformity to cleft lip through Y-shaped conchal cartilage transplantation, the shape of the nasal tip was stable without the recurrence of deformities or distortion on the donor site of the auricle. Y-shaped conchal cartilage transplantation is an ideal treatment method for the moderate and severe secondary nasal deformity to cleft lip and effective perioperative mental intervention can improve the patient's mental health status, an outcome that is worth popularizing in clinical applications.

Keywords: anxiety; cleft lip; conchal cartilage; depression; nasal deformity.

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Figures

Figure 1.
Figure 1.
Autologous conchal cartilage.
Figure 2.
Figure 2.
Measurement of nasal columella of 16 patients before and after the operation. Each square symbol represents the nasal columella measurement (mm) of a patient before the operation, with the triangle symbol directly above representing the same patient after the operation.
Figure 3.
Figure 3.
Measurement of nasal base of 16 patients before and after the operation. Each square symbol represents the nasal base measurement (mm) of a patient before the operation, with the triangle symbol directly above representing the same patient after the operation.
Figure 4.
Figure 4.
Measurement of nostril height of 16 patients before and after the operation. Each square symbol represents the nostril height measurement (mm) of a patient before the operation, with the triangle symbol directly above representing the same patient after the operation.
Figure 5.
Figure 5.
Measurement of nose breadth of 16 patients before and after the operation. Each square symbol represents the nose breadth measurement (mm) of a patient before the operation, with the triangle symbol directly above representing the same patient after the operation.
See this image and copyright information in PMC

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