Biodegradable Polycaprolactone Bone Scaffold for Rhinoplasty in Bilateral Cleft Repair: A Case Report

Cleft nasal deformities are commonly observed in patients with unilateral or bilateral cleft lip, presenting various degrees of severity. Correcting nasal deformities, particularly in bilateral cleft lip patients, remains a complex challenge due to underlying anatomical abnormalities and the scarring from previous surgeries. This research aims to evaluate the effectiveness of secondary cleft rhinoplasty, focusing on addressing the hypoplastic and depressed bony structures critical to nasal projection. In many cases, autologous grafts, such as cartilage from the septum, ear, or rib, are traditionally used for nasal reconstruction. However, these materials present challenges, including donor site morbidity and tissue resorption. In this study, we explore the use of Osteopore™, a biodegradable polycaprolactone scaffold, as a bone substitute for nasal reconstruction. The results indicate that Osteopore™ offers a promising alternative with reduced morbidity and stable long-term outcomes. This method provides new insights into the materials and techniques for addressing cleft nasal deformities in bilateral cleft lip patients, potentially improving both aesthetic and functional outcomes.