Donor site morbidities of concha cartilage harvesting using a retroauricular approach for cleft rhinoplasty: Retrospective study
Issued Date
2023-01-01
Resource Type
ISSN
22347550
eISSN
22345930
Scopus ID
2-s2.0-85175839880
Journal Title
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Volume
49
Issue
5
Start Page
270
End Page
277
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Korean Association of Oral and Maxillofacial Surgeons Vol.49 No.5 (2023) , 270-277
Suggested Citation
Themkumkwun S., Vorakulpipat C., Boonsiriseth K. Donor site morbidities of concha cartilage harvesting using a retroauricular approach for cleft rhinoplasty: Retrospective study. Journal of the Korean Association of Oral and Maxillofacial Surgeons Vol.49 No.5 (2023) , 270-277. 277. doi:10.5125/jkaoms.2023.49.5.270 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/91022
Title
Donor site morbidities of concha cartilage harvesting using a retroauricular approach for cleft rhinoplasty: Retrospective study
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Objectives: Concha cartilage is recommended for correction of cleft nasal deformities. Morbidities at the donor site have been reported in esthetic rhinoplasty cases. Reports on cleft patients are limited, so we investigated the complications of concha cartilage harvesting using the retroauricular approach in cleft rhinoplasty and their management. Materials and Methods: This was a retrospective review of the charts of 63 patients with cleft deformities who underwent septorhinoplasty with concha cartilage. All cases were harvested using a retroauricular approach. Data on patient demographics, surgery type, amount of cartilage harvested, and complications were gathered. Results: Sixty-three patients were enrolled (21 males and 42 females). The mean age of patients was 20.2±5.9 years. Complications were observed in 6 cases (9.5%) and included delayed wound healing (4.8%), prolonged postoperative pain (1.6%), postoperative paresthesia (1.6%), and prominauris (1.6%). Conclusion: The rate of complications associated with concha cartilage harvesting using a retroauricular approach is low. The use of meticulous surgical techniques, especially hemostasis control and adequate wound dressing, is key to minimizing postoperative complications.