<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202019000100016</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.abril.16-19</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[&#8220;RINOPLASTIA DEFINITIVA EN PACIENTES CON FISURA LABIOPALATINA UNILATERAL&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[&#8220;DEFINITIVE RHINOPLASTY IN PATIENTS WITH UNILATERAL LABIOPALATIN FISURA&#8221;]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Wenninger]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldana-Ubilus]]></surname>
<given-names><![CDATA[Celso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval-Pérez]]></surname>
<given-names><![CDATA[José Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Medicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>19</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Presentar una técnica quirúrgica que corrija tanto funcional como estéticamente las alteraciones nasales en pacientes con fisura labiopalatina unilateral.  Materiales y métodos: Serie de casos de 4 pacientes operados de rinoseptoplastia con secuelas de fisura nasolabiopalatina unilateral en el centro nacional de quemaduras y cirugías reconstructivas entre los años 2016 y 2017.  Resultados: El abordaje abierto fue realizado es todos los pacientes, las osteotomías fueron asimétricas en su mayoría, la septumplastia fue realizado en un 100%, así como la colocación de un poste columelar e injerto de Sheen (tipo escudo) en la punta en todos los casos.  Conclusión: La corrección adecuada de la nariz fisurada se puede lograr teniendo en cuenta el conocimiento profundo de las alteraciones de cada paciente en particular. A pesar no existir un algoritmo ideal, el cirujano debe contar con un esquema mental que le permita tratar de forma individualizada cada caso siempre centrándose en dos metas principales: la corrección de la asimetría y de la función.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objectivo:  To present a surgical technique that corrects both nasal alterations in patients with unilateral labiopalatine fissures, both functionally and aesthetically.  Materials and method:  Case series of 4 patients operated on for rhinoseptoplasty with sequelae of unilateral nasolabiopalatine fissure in the national center of burns and reconstructive surgeries between 2016 and 2017.  Results:  The open approach was performed in all patients, the osteotomies were mostly asymmetric, the septuplasty was performed 100%, as well as the placement of a columbular post and Sheen graft (shield type) at the tip in all cases.  Conclusion:  The correct correction of the fissured nose can be achieved taking into account the deep knowledge of the alterations of each patient in particular. Although there is no ideal algorithm, the surgeon must have a mental framework that allows him to treat each case individually, always focusing on two main goals: the correction of asymmetry and function.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Rinoseptoplastia primaria]]></kwd>
<kwd lng="es"><![CDATA[fisura nasolabiopalatina unilateral]]></kwd>
<kwd lng="en"><![CDATA[Primary rhinoseptoplasty]]></kwd>
<kwd lng="en"><![CDATA[unilateral nasolabiopalatine fissure]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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