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One example of how cells use the energy contained in electrochemical gradients is demonstrated by glucose transport into cells. The ion vital to this process is sodium (Na+), which is typically present in higher concentrations extracellularly than in the cytosol. Such a concentration difference is due, in part, to the action of an enzyme “pump” embedded in the cellular membrane that actively expels Na+ from a cell. Importantly, as this pump contributes to the high concentration of...
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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Live Imaging of Mouse Secondary Palate Fusion
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[Secondary nasal surgery with cleft palates].

A Picard1, F Zazurca2, G Franchi2

  • 1Centre de référence « Fentes et Malformations Faciales », MAFACE, université Paris Descartes, Paris 5, 149, rue de Sèvres, 75015 Paris, France; Université Paris Descartes, Paris 5, France.

Annales De Chirurgie Plastique Et Esthetique
|August 19, 2019
PubMed
Summary
This summary is machine-generated.

Addressing residual nasal deformity after cleft palate repair is crucial. Primary surgery improves outcomes, but secondary corrections are often needed for optimal nasal morphology and patient satisfaction.

Keywords:
CheiloplastyChéiloplastieCleft palateFentes labiopalatinesRhinoplastieRhinoplasty

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Residual nasal deformity is a common challenge following cleft palate repair.
  • While primary surgical interventions have advanced, secondary corrections are frequently required to refine nasal aesthetics and function.

Purpose of the Study:

  • To emphasize the importance of meticulous tissue handling during primary cleft palate surgery.
  • To highlight strategies for managing secondary nasal deformities effectively.

Main Methods:

  • Review of surgical principles for primary and secondary cleft lip and nose repair.
  • Emphasis on anatomical reconstruction and tissue preservation.

Main Results:

  • Primary surgery significantly improves nasal outcomes.
  • Careful tissue respect during initial procedures facilitates subsequent corrections.
  • Comprehensive revision of the lip and nose may be necessary for severe labionasales sequelae.

Conclusions:

  • Secondary nasal deformity correction is an integral part of cleft palate management.
  • Adherence to primary surgical rules during revisions ensures optimal anatomical reconstruction and functional results.