Primary Septal Cartilage Graft for the Unilateral Cleft Rhinoplasty.

Propose: Since 2006, we have explored the option of using septal cartilage as an alar rim graft on the cleft side during primary rhinoplasty to improve nasal symmetry. The aim of this study was to compare the nasal shape with or without rim graft. Methods: A total of 98 patients with unilateral complete cleft lip and palate were included; 39 patients had septal cartilage as the rim graft, 59 patients did not. Measurements of the nostril height, nostril width, 1/4 medial part of nostril height, nostril area, nasal dome height and nostril axis were made on the cleft and non-cleft side. Ratios of these measurements were calculated. These ratios were then compared between the graft and non-graft group. The levels of asymmetry were categorized into four levels: 15% based on the percentages deviated from perfect symmetry (100%). Panel assessment was also performed. Nasolabial angle and tip projection ratio were measured for the comparison of nasal growth. Results: The nostril height, height to width ratio, and nasal dome height were higher in the graft group (P: 0.003,

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