Unblocking the nose by unplugging the ear: the use of foam ear defenders as a splint following secondary cleft rhinoplasty

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Linda J Treharne, Jacques J N M van der Meulen

Abstract

The functional and aesthetic result from secondary cleft rhinoplasty is commonly impaired by a bulge in the lateral nasal vestibule, which can relapse in the postoperative period despite careful intraoperative correction. We aim to improve our results by using a foam ear defender as a postoperative splint to prevent relapse. Case series of 10 patients with photographs of a typical clinical case. The postoperative nasal pack was exchanged with a foam ear defender on day 5. The splint was worn continuously for 3 to 4 weeks, then nightly for 3 months. The splint was changed daily by the patient. The results were assessed clinically by the senior author. The patients had little or no recurrence of the lateral vestibular bulge following nasal splintage. Foam ear defenders are a simple, cheap, and comfortable method to provide splintage to the nasal vestibule following secondary cleft rhinoplasty.

References

Nov 1, 1992·Annals of Plastic Surgery·J D Kirschbaum, C A Kirschbaum
Nov 1, 1992·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·J B Mulliken
Oct 1, 1993·Facial Plastic Surgery : FPS·R T Farrior
Jul 1, 1995·Facial Plastic Surgery : FPS·C Walter
Apr 5, 2000·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·P G Morselli

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Citations

Jan 11, 2017·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Andreas KehrerJacques J J N M van der Meulen
Aug 30, 2019·Annals of Plastic Surgery·Andreas KehrerJacques J J N M van der Meulen
Sep 17, 2019·Annals of Plastic Surgery·Andreas KehrerJacques J J N M van der Meulen

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