Columella Lengthening with a Full-Thickness Skin Graft for Secondary Bilateral Cleft XXXX and Nose Repair.

@entity1 @entity2419 @entity38574
BACKGROUND: Various techniques for lengthening short columellae have been used for bilateral @entity2419 repair. However, previous methods have not yielded satisfactory results. We performed a full-thickness skin graft to lengthen short columellae during secondary @entity2419 repair in adult @entity1 . METHODS: Ten bilateral cleft @entity38574 and nose @entity1 underwent secondary cheiloplasty with open rhinoplasty between July 2008 and August 2014. The @entity1 underwent a full-thickness skin graft on the medial crura to elongate the columella. The average age of the @entity1 at the time of surgery was 22.2 years. Nasal profiles were evaluated before and after the operation using the photogrammetric method. RESULTS: The nasal profiles were improved in all @entity1 , and all skin grafts were well taken, with the exception of one @entity1 . Columellar height, nostril height, and columella- @entity38574 angle increased, and nasal width decreased significantly. The ratios of columellar height to nasal height, columellar height to nasal width, and nasal height to nasal width increased to a statistically significant extent. CONCLUSIONS: Columella lengthening with a full-thickness skin graft is a simple and effective method for the repair of severely short columellae in bilateral @entity2419 @entity1 . We had satisfactory outcomes, with good color matching and aesthetically pleasing contours.
