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Reconstructive nose surgery

Reconstruction Rhinoplasty

Nasal reconstructive surgery is a specialty of facial plastic surgery, which repairs nasal deformities due to trauma, disease, or accident. Those individuals who have suffered facial deformities desperately desire to return to normal function and appearance. For these patients reconstructive nose surgery is an alternative.

The nose is the most prominent feature on a face. Due to its foremost position, the nose is exposed to injury in car accidents, falls, animal bites, labor and home accidents, and also those events related to sports. Facial trauma may result in obstruction of the airway and aesthetics deformities. Fractures resulting from trauma to the nose may involve the partition of bone and cartilage dividing the two nostrils; flattening and other deformations of the shape of the nose are other possible complications. Injuries may involve other organs. In the event of a nose injury, you must seek urgent medical attention. Some external injuries of the nose may lead to soft-tissue and skin damage. Muscles and nerves of the face should be evaluated. In these cases, reconstructive surgery is necessary in order to safeguard the bone structure and preserve the natural facial expression.

Nasal reconstructive surgery requires a careful clinical examination, x-ray analysis, -even when there are obvious fractures-, in order to determine the severity of the trauma. Suspected nasal fractures must be evaluated immediately and treated as promptly as possible. It is important to examine the positioning of the bones of the septum, as well as bones surrounding the orbit including nasal, maxilla, malar, and frontal bones.

A reconstructive operation requires the surgeon´s experience and possible consultation with other specialists, such as a head and neck surgeon, the otolaryngologist and any other necessary evaluation. Dr. Jorge Alberto Espinosa Reyes is an experienced facial plastic surgeon and otolaryngologist. As Coordinator of the Facial Trauma Service of the Otolaryngology Department in the Hospital Militar Central for many years in Bogotá, Colombia, Dr. Espinosa has had to manage several nose trauma cases.


Cleft lip and palate surgery

Between the 6th-11th weeks of the gestational period, the right and left sides of the lip and the roof of the mouth normally grow together. However, in about one of every 700 babies, those sections do not fuse. Cleft lip and palate are variation of a type of congenital clefting deformity caused by abnormal facial development during gestation.

Causes of these deformities can be genetic in nature, the result of environmental factors, maternal diet and vitamin intake, illegal drugs, alcohol, cigarette use, and others. These birth defects are of variable severity. It is possible for a child to have a cleft lip, a cleft palate, or variations of both. The condition can be slight or severe, unilateral or bilateral. These children may have problems with their feeding and their teeth, their hearing, their speech, and their psychological development as they grow up. If a child is born with either or both of these conditions, doctors usually recommend surgery. A cleft lip or palate can be successfully treated with surgery soon after birth. However, in some cases a second or even third surgery will be necessary.

The treatment of cleft lip and palate is so complex that no one specialist can handle all of the issues that arise. A multidisciplinary team approach to the treatment of these deformities will be needed. The team is led by an otolaryngologist and a facial plastic surgeon, as well as other specialists from several disciplines. When surgery is done by a qualified plastic surgeon, such as Dr. Espinosa, with experience in repairing cleft lip and palate, the results can be quite positive.

Dr. Espinosa is usually assisted by a highly qualified team of orthodontic specialists, oral and maxillofacial surgeons and odontopediatricians, during the treatment process. Since children change as they grow, evaluations and treatments will be related to the age of the child. Most surgeries to close the cleft lip are performed within the 3-18 months after birth. Treatment procedures can vary depending on the age, weight and health of child. Due to lack of suction, an infant with a cleft may have trouble feeding. As some mothers prefer breast feeding, nutrition in children with these conditions might be a problem. Providing nutrition through a special bottle is commonly used. However, most parents feel frustrated because of the risk of malnutrition for their children.

Medical professionals have made great advances in treating children with clefts and can do a lot to help them lead a normal and happy life. By sophisticated surgical procedures the deviated septum is treated and closed. These kids may also need a bone graft, usually taken from their septum, ears or rib. Most children born with either or both of these conditions undergo reconstructive surgery while they are still infants to correct the defect and significantly improve their facial appearance. During your consultation with Dr. Espinosa, he will discuss the details of the procedure, costs, recovery, post-operative care, and the results you can expect. Remember, after surgery your child will need continuous observation of his/her maxillary and dental development, as well as psychological and affective support.