Rinoplastía definitiva en deformidades nasolabiales de pacientes fisurados: Valoración estética de la experiencia quirúrgica

Abstract

Introduction: The three dimensional structure of the nose, heterogenia composition of tissues (bone, cartilage and soft tissue) and the presence of previous surgery in the nasolabial territory makes definitive rhinoplasty very difficult in cleft patients. It is therefore essential to analyze the results obtained after tertiary or definitive rhinoplasty in these patients. Objective: To present the aesthetic results obtained through an objective method and supported in the literature; cleft patients undergoing definitive rhinoseptoplasty. Methods: Postoperative photographic analysis of all cleft patients undergoing definitive rhinoplasty between January 1, 2010 and July 31, 2014 was performed by 4 reviewers blinded to study. Results: Tertiary rhinoseptoplasty was conducted in 54 patients with a mean age of 21 years (range 14 to 51 years), of whom 24 (48.7%) were female and 30 (51.2%) male. 36 (66%) patients had unilateral cleft and 18 (33%) were patients with bilateral cleft. The average assessments using the Score Strasser believes that 29.6% (16) cases showed excellent results, 57.4% (31) cases in the good score and 12.9% (7) classified in mediocre settings. There were no cases with bad score. Conclusion: The results of this study allow us to propose a learning curve enough to obtain comparable or superior to those presented in this casuistry safe, functional and aesthetic result.