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Updated: Aug 11, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Nostril retainers in the primary cleft rhinoplasty]
R Méndezl1, J L López-Cedrún, M G Tellado
1Servicio de Cirugía Pediátrica, 2 Hospital Materno Infantil Teresa Herrera, Complejo Hospitalario Universitario Juan Canalejo, A Coruña. roberto.mendez.gallart@sergas.es
Postoperative nasal stents effectively maintain nasal morphology after primary rhinoplasty in cleft lip patients, significantly reducing nostril asymmetry compared to controls. This method aids in preventing nasal reconstruction relapse and maintaining airway patency.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Otolaryngology
Context:
- Primary rhinoplasty for cleft lip nasal deformity often results in nasal cartilage depression.
- Nasal stents are utilized to preserve surgical outcomes and maintain nasal morphology post-procedure.
Purpose:
- To evaluate the efficacy of postoperative nasal splinting in managing cleft lip nasal deformities.
- To compare nasal morphology outcomes in patients treated with and without nasal stenting.
Summary:
- A study involving 18 cleft patients who received nostril retainers during primary repair showed improved nasal morphology post-surgery.
- Photogrammetric analysis revealed significantly less nostril asymmetry (10%) in the stented group compared to controls (48%).
- Nasal retainers were maintained for an average of 3.5 months, with follow-up averaging 18.5 months.
Impact:
- Postoperative nasal stenting is effective in preventing relapse and alar drop after primary cleft rhinoplasty.
- Nasal retainers promote airway patency and reduce the risk of adhesions from secretions and scarring.
- Successful outcomes depend on parental collaboration in managing the nasal splints.
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