OBJECTIVETo evaluate the clinical effects of reshaping the nasal tip with autologous nasal septum cartilage combined with expanded polytetrafluoroethylene (ePTFE) and autologous auricular cartilage grafts.

METHODSThe nasal septal cartilage combined with ePTFE (group A, 70 cases) and autologous auricular cartilage grafts (group B, 48 cases) were used separately. The therapeutic effect and operation time were compared using the t-test or the χ²-test by the SPSS 12.0 software.

RESULTSThe mean operation time (x(-) ± s) in group A was less than those in group B and the difference was significant (t = 13.258, P = 0.000). The width of nasal tip equal to (6 - 8) mm was found in 67 cases (95.7%) in group A, and 46 cases (95.8%) in group B. There was no statistically significant difference between group A and group B (χ² = 0.001, P = 0.996). The correction result of the nasal tip projection, angle of ration, the included angle of nasal dorsum and nasal columella and the height of the nasal tip did not show statistically significant difference between group A and group B (χ² value were 0.001, 0.069, 0.149, 0.073, respectively, all P > 0.05).

CONCLUSIONThe autologous nasal septal cartilage combined with ePTFE and autologous auricular cartilage grafts showed similar clinical effect.

Adolescent ; Adult ; Ear Cartilage ; transplantation ; Female ; Humans ; Male ; Nasal Cartilages ; transplantation ; Nasal Septum ; transplantation ; Polytetrafluoroethylene ; Rhinoplasty ; methods ; Transplantation, Autologous ; Young Adult

PURPOSE: To investigate the surgical results of an ear cartilage graft and supplemental procedures for correcting lower lid retraction combined with entropion in anophthalmic patients. METHODS: We reviewed retrospectively the medical records of 7 anophthalmic patients with lower lid retraction and entropion, who received a posterior lamellar ear cartilage graft and one or both of lateral tarsal strip or eyelash-everting procedure between March 1998 and March 2003. Preoperative and postoperative lid and socket statuses were also investigated. RESULTS: Ear cartilage grafts were performed in all 7 patients, lateral tarsal strips in 6, and eyelash-everting procedures in 5. Postoperative follow-up durations ranged from 4 to 28 months (average 12.6 months). Retractions were corrected during follow-up in all patients. There were no cases of entropion immediately after surgery. However, the eyelashes of the lower lid returned to an upright position in 4 patients, but not so severe as to touch the ocular prosthesis, and thus did not require surgical correction during follow up. CONCLUSIONS: Lower lid retraction combined with entropion in anophthalmic patients can be corrected effectively using an ear cartilage graft with selective, supplemental procedures.
Retrospective Studies ; Male ; Humans ; Female ; Eyelid Diseases/*etiology/*surgery ; Entropion/*etiology/*surgery ; Ear Cartilages/*transplantation ; Child, Preschool ; Child ; Anophthalmos/*complications ; Adult