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Otorhinolaryngology 2022 June;72(2):79-83

DOI: 10.23736/S2724-6302.22.02420-3

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Efficacy of extended alar batten graft with Tajima reverse U incision for unilateral cleft rhinoplasty: a case control study

Sneha PENDEM , Vaishnavi SRIPATHI

Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Chennai, India



BACKGROUND: Conventional techniques of cleft rhinoplasty are associated with asymmetry in the region of alar rim associated with notching or soft tissue overhang in the region of soft tissue triangle. The aim of the study is to assess the efficacy of extended alar batten graft into the alar rim with Tajima’s reverse “U” incision for unilateral cleft rhinoplasty.
METHODS: A case control study was conducted including all patients who underwent unilateral cleft rhinoplasty. Patients in control group underwent conventional open rhinoplasty without extended alar batten graft whereas patients in study group underwent rhinoplasty with Tajima’s reverse U incision with extended alar batten graft into the rim. Pre- and postoperative photometric evaluation (using Image meter - Pro key v3.5.18) was done to assess the nostril symmetry by a blinded observer (T0- preoperative, T1- 6 months postoperative). The esthetic outcome score was assessed with Asher Mcdade Scale by a blinded observer and the patient satisfaction was assessed with Rhinoplasty outcome scale.
RESULTS: Total of 16 patients were included in the study; 8 patients from a retrospective cohort constituted the control group while eight patients were allocated to the study group . The average follow-up period was 12 months, (range from 6 to 18 months). Nostril symmetry, morphology of alar columellar web, thickness of the lateral ala had better outcome in the study group and this was statistically significant.
CONCLUSIONS: Extended alar batten graft into the alar rim with Tajima reverse U incision enhances the nostril symmetry in unilateral cleft rhinoplasty.


KEY WORDS: Rhinoplasty; Facial asymmetry; Surgical procedures, operative

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