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Secondary rhinoplasty in the bilateral cleft.

作者信息

Nolst Trenité Gilbert J

机构信息

Department of Otorhinolaryngology, Academic Medical Center of the University of Amsterdam, The Netherlands.

出版信息

Facial Plast Surg. 2002 Aug;18(3):179-86. doi: 10.1055/s-2002-33064.

DOI:10.1055/s-2002-33064
PMID:12152136
Abstract

Secondary rhinoplasty in bilateral clefts is very complex due to its specific pathological anatomical characteristics. In this article, the general and specific characteristics of the nose of the bilateral clefts are described and careful preoperative assessment is emphasized. We discuss the timing of the operation considering growth inhibition and psychological aspects and a systematic rational surgical approach, dividing the operative procedure into: septal surgery, tip surgery, osseocartilaginous vault surgery, maxillary augmentation, and alar base reallocation. We report results of a retrospective study to evaluate the postoperative care with a custom-made vestibulum device to prevent stenosis of the vestibulum caused by scar tissue retraction in the postoperative period.

摘要

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