Heal Well Hospital

Residual asymmetry of the nose after the surgical correction of cleft lip and the cleft palate is a complex deformity, which is very difficult to correct up to the satisfaction. In this deformity, not only the cleft side nasal tip-alar supporting cartilage,nasal septum are deformed and displaced but alar soft tissue also is deformed(buckled). This deformed soft tissue does not allow gaining necessary convex shape elevation of the nasal tip dome-alar region by conventional surgical correction. To achieve and retain the elevation, a strong springy elastic supporting ‘material’ is required. For this, I am using conchal cartilage autograft, harvested from the concha of the ear. The concave  surface of the cartilage graft is bent in reverse and placed on the cleft-side dome and wing of the alar cartilage. This reverse way bending gives strong,springy elastic elevation and convex shape to the soft tissue as well as to the notched alar cartilage. The technic and results, as under,are excellent.