Dr. Chien-Yu Chen
3rd-year resident
Dr. Yu-Wun Liu
3rd-year resident
Topic
Journal Club
Versatile Usability of Lateral Crural Strut Graft for Correction of Various Nasal Tip Deformities in Secondary Rhinoplasty in Asians
Principles and Techniques to Reduce the Incidence of Fistula: A Review of over 1000 Cleft Palate Repairs by a Single Surgeon
Versatile Usability of Lateral Crural Strut Graft for Correction of Various Nasal Tip Deformities in Secondary Rhinoplasty in Asians
This prospective study evaluated the effectiveness of lateral crural strut grafts (LCSGs) in 37 Asian patients undergoing secondary rhinoplasty. LCSGs successfully corrected multiple nasal tip deformities, including pinching, alar retraction, asymmetry, and external valve insufficiency. Patient satisfaction, measured by the Rhinoplasty Outcome Evaluation score, improved significantly after surgery. The authors concluded that autologous LCSGs provide a versatile and reliable technique to restore tip support, improve nasal symmetry, enhance external valve function, and lengthen contracted noses in revision rhinoplasty.
Principles and Techniques to Reduce the Incidence of Fistula: A Review of over 1000 Cleft Palate Repairs by a Single Surgeon
This study reviewed 1,041 consecutive cleft palate repairs performed by a single surgeon and reported an exceptionally low postoperative fistula rate of 0.86%. Fistulas occurred only after straight-line repair, while none developed following Furlow palatoplasty. Higher Veau classification and the use of buccal myomucosal flaps were associated with increased fistula risk. The authors emphasized that meticulous tissue handling, tension-free closure, careful preoperative planning, and postoperative management are essential principles for minimizing fistula formation after cleft palate repair.