Flashcards on Secondary Cleft Deformities and Surgery
Secondary Cleft Deformities & Surgery: Comprehensive Guide
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Nasal reconstruction
51 cards
Card 1
Question: What are the three main types of septal extension grafts used in nasal reconstruction and how do they differ in placement?
Answer: Type I: similar to a dorsal spreader graft, extends into the nasal tip between the medial crura. Type II: paired batten grafts that extend diagonally
Card 2
Question: What is the primary purpose of septal extension grafts or columellar struts in nasal reconstruction and how much additional tip projection can they pr
Answer: They control tip projection and support; when performed properly they can achieve about 2–3 mm of additional tip projection.
Card 3
Question: What is the function of a tip graft in nasal reconstruction?
Answer: To camouflage tip irregularities by placing graft tissue over the alar domes and to add to tip projection.
Card 4
Question: What is a shield graft, where is it placed, and what common patient complaint may result?
Answer: A shield graft is placed over the caudal spine/premaxilla to give more support to the nasal tip; patients may complain of a stiff or fixed tip.
Card 5
Question: List other graft types used to supplement and augment the nasal cartilaginous skeleton.
Answer: Spreader grafts, septal extension grafts, tip shield grafts, alar batten grafts, and dorsal onlay grafts.
Card 6
Question: Where are spreader grafts placed and what are their main functions?
Answer: Placed between the dorsal septum and upper lateral cartilages (ULC). They restore/maintain the internal nasal valve, straighten a deviated dorsal sept
Card 7
Question: How are spreader grafts secured and how can they be used to modify nose length or tip projection?
Answer: They are sutured to the septum and may extend beyond the septal angle to lengthen the nose or to increase tip projection.
Card 8
Question: What is the role of septal extension or extended spreader grafts in controlling nasal tip qualities?
Answer: They function to control qualities of the nasal tip including projection and support.
Card 9
Question: What does the Stal–Feldman alar facial rotation excision combine and what nasal features does it aim to correct?
Answer: It combines excision (partial or full-thickness lateral ala or nasal mucosa, if needed) with suturing techniques to reshape the nostril, narrow the al
Card 10
Question: What is the advantage of the mucosal-sparing weir excision mentioned in the content?
Answer: It avoids effacing the alar-facial relationship and helps reconstruct an acute alar-facial relationship via suture techniques.