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Revista de salud publica del Paraguay

On-line version ISSN 2307-3349

Abstract

GARCIA, M; SANDOVAL, J; ALDANA, C  and  BALMELLI, B. Definitive rhinoplasty in patients with Unilateral Labiopalatin Fisura. Rev. salud publica Parag. [online]. 2019, vol.9, n.2, pp.66-69. ISSN 2307-3349.  https://doi.org/10.18004/rspp.2019.diciembre.66-69.

Introduction:

Nasal deformity in patients with nasolabiopalatine fissure brings both aesthetic and functional problems. The definitive rhinoplasty in these patients represents a real challenge because it is treated in the majority of cases of secondary or tertiary surgeries depending on how many times the patient has undergone surgery before completing its growth.

Objective:

To present a series of cases on definitive Rhinoplasty in patients with Unilateral Labiapalatine Fissure.

Case presentation:

Case series of 4 patients operated for rhinoseptoplasty with sequelae of unilateral nasolabiopalatine fissure at the National Center for Burns and Reconstructive Surgery (CENQUER) between 2016 and 2017. The open approach was performed in all patients, osteotomies were asymmetric in their In most cases, septumplastia was performed in 100%, as well as the placement of a columelar pole and Sheen graft (shield type) at the tip in all cases.

Conclusion:

Proper correction of the cracked nose can be achieved taking into account the deep knowledge of the alterations of each particular patient. Despite the absence of an ideal algorithm, the surgeon must have a mental scheme that allows him to treat each case individually, always focusing on two main goals: the correction of asymmetry and function.

Keywords : Rhinoplasty; Cleft palate; Reconstructive Surgical Procedures; Paraguay.

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