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Plastic Surgery International
Volume 2014, Article ID 270285, 7 pages
Clinical Study

Evaluation of the Use of Auricular Composite Graft for Secondary Unilateral Cleft Lip Nasal Alar Deformity Repair

1Faculty of Medicine, San Martin de Porres University, Lima, Peru
2Outreach Surgical Center Program Lima Peru, ReSurge International, 120 Schell Street Apartment 1503 Miraflores, Lima 18, Peru
3San Bartolome Children Hospital, Lima, Peru

Received 15 May 2014; Revised 9 September 2014; Accepted 16 September 2014; Published 25 September 2014

Academic Editor: Stephen M. Warren

Copyright © 2014 Percy Rossell-Perry and Carolina Romero-Narvaez. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The purpose of this study is to evaluate the surgical outcome after using composite grafts for secondary cleft lip nasal deformities. A retrospective cohort study of one surgeon’s outcome of 35 consecutive performed secondary cleft lip nasal deformity repair. Thirty-five patients with secondary nose deformity related to unsatisfactory cleft lip repair were operated using the proposed surgical technique since 2008. All these patients met the study criterion of having anthropometric measurements performed at least one year postoperatively. Measurement of nostril size was performed at the right and left side of the nose, preoperatively and at least one year postoperatively. The study found statistically significant differences between the preoperatory and postoperatory nose measurements. In addition, we have not found statistically significant differences between the cleft and noncleft nostril sizes measured at least one year postoperatively. The findings suggest that the proposed technique is a good alternative to address secondary nose deformity related to cleft lip primary repair.