Post septorhinoplasty custom-made unilateral nasal stent for nasal cleft deformity

Abstract

Context:Nasal cleft deformity is a complicated problem. Utilization of nasal stent in post septorhinoplastyaims at establishing and maintaining airway patency, tissue position, and reduces tissue contracture after surgery.Case Report:A 16-year-old female patient presented with history of surgical reconstruction of congenital cleft lip and cleft palate with secondary septorhinoplasty of nasal cleft deformity. Patient was referred for nasal stent 1 week after septorhinoplasty. This case report provides a novel technique for fabrication of esthetic nasal stent after postseptorhinoplasty for secondary cleft nose deformity correction.Conclusion:This case report presents a simple, convenient technique for nasal stent fabrication for prevention of restenosis for cleft nose deformity post secondary septorhinoplasty. Provision of nasal stent allows breathing, maintains esthetics, comfort, nasal patency, and contour with minimal discomfort.

Use it or Lose it: Predictors of Compliance and Satisfaction With Postoperative Nasal Stent Therapy After Primary Cleft Lip Repair

“…After primary CLR, NS therapy has been demonstrated to maintain tissue position during healing, decrease nasal deformity, promote airway patency, and improve overall cosmetic appearance. 4,5,15 Therefore, noncompliance with therapy for prolonged periods of time may lead to worse outcomes. It is unclear to us why patients with incomplete CL and male children were five times more likely to be non-compliant for an extended period of time.…”

“…Postoperatively, NS therapy helps to retain tissue position during healing, decrease nasal deformity, promote airway patency, and improve overall cosmetic appearance. [5][6][7][8] However, the use of NS can be labor-intensive for parents of children with CL or CLP, requiring regular clinic visits. In addition, the use of postoperative NS was associated with low perceived infant comfort levels as rated by caregivers.…”

“…Preoperatively, NS allows elevation of the alar cartilage, which can enhance the shape and size of the cleft nose. Postoperatively, NS therapy helps to retain tissue position during healing, decrease nasal deformity, promote airway patency, and improve overall cosmetic appearance 5–8 . However, the use of NS can be labor-intensive for parents of children with CL or CLP, requiring regular clinic visits.…”

Cleft Nasal Stent Production Using Three-Dimensional Scanning and Printing Technology

“…In the current literature, there are reports of self-made nasal stents produced using a variety of materials from nasogastric tubes and urinary catheters to dental resin. 8,9…”

“…In addition, these stents take a long period to ship from their country of manufacture, presenting a logistical challenge should there be an unexpected increase in demand of a certain size in the immediate period. In the current literature, there are reports of self-made nasal stents produced using a variety of materials from nasogastric tubes and urinary catheters to dental resin 8,9 …”