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Related Concept Videos

Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Cranial Bones: Lateral View01:27

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
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Impact of Orthodontic Gap Closure versus Prosthetic Replacement of Missing Maxillary Lateral Incisor on Dental Arch Relationships and Symmetry in 212 Patients with Cleft Palate: Retrospective Study.

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Aesthetic and psychosocial impact of dentofacial appearance after primary rhinoplasty for cleft lip and palate.

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[Cleft rhinoplasty, from primary to secondary surgery].

Jean-Claude Talmant1, Jean-Christian Talmant1

  • 1Chirurgie plastique, centre de compétence de traitement des fentes labio-maxillo-palatines Des Pays de la Loire, clinique Jules-Verne, 2, route de Paris, 44300 Nantes, France.

Annales De Chirurgie Plastique Et Esthetique
|September 28, 2014
PubMed
Summary

Early correction of cleft nose deformity is crucial. Pediatric nasal surgery from 6 months of age, focusing on nasal ventilation and accurate repositioning, ensures optimal facial growth and aesthetic outcomes.

Keywords:
Cleft lipDéveloppement maxillo-facialFente labialeMaxillofacial growthNasal breathingNezNoseVentilation nasale

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Area of Science:

  • Plastic Surgery
  • Pediatric Surgery
  • Craniofacial Surgery

Background:

  • The cleft nose deformity remains a complex challenge for specialists.
  • Existing literature often focuses on camouflage rather than functional anatomy and facial growth.
  • Lack of early intervention and awareness of nasal breathing's importance contribute to suboptimal outcomes.

Purpose of the Study:

  • To present long-term findings on the early correction of cleft nose deformity.
  • To emphasize the necessity of early, functional, and aesthetic surgical intervention.
  • To highlight the importance of understanding nasal anatomy and surgical techniques for cleft patients.

Main Methods:

  • Long-term follow-up (17+ years) of patients undergoing early cleft nose correction.
  • Sub-periosteal and sub-perichondrial dissections in infants (from 6 months).
  • Accurate repositioning of nasal structures with controlled healing to prevent scar contraction.

Main Results:

  • Deformed nasal cartilages in cleft patients can be successfully repositioned.
  • Early dissections are not detrimental to facial and nasal growth.
  • Prioritizing nasal ventilation is essential for optimal facial development.

Conclusions:

  • Nasal pediatric surgery is necessary at the primary operation (from 6 months of age) for both aesthetic and functional goals.
  • A comprehensive understanding of cleft nose anatomy, surgical techniques, and chronological intervention is vital.
  • Both primary and secondary cleft rhinoplasty require experienced surgeons skilled in all aspects of nasal surgery.