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This case report details the innovative use of the Presurgical Lip, Alveolus, and Nose Approximation (PLANA) device in correcting a neonatal nasal deformity unrelated to cleft lip and palate. The patient, a 2-week-old female, presented with a significant unilateral nasal deformity characterized by septal deviation and depression of the nasal dome. Traditionally utilized in cleft lip and palate cases, the PLANA device was repurposed to address this unique presentation. Over a period of ten weeks, the device was used to reshape the nasal cartilage, resulting in significant improvement in nasal symmetry and septal alignment. This report highlights the device's potential for broader applications in neonatal nasal deformity correction and emphasizes the importance of early intervention during the neonatal period when tissues are most malleable.
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http://dx.doi.org/10.1097/SCS.0000000000011687 | DOI Listing |
Medicine (Baltimore)
September 2025
Department of Pediatrics, Affiliated Hospital of Jining Medical University, Jining, Shandong Province, China.
Rationale: Weaver syndrome is a rare congenital overgrowth disorder characterized by a wide spectrum of clinical manifestations that often overlap with other overgrowth syndromes. It is primarily caused by pathogenic variants in the Enhancer of Zeste Homolog 2 (EZH2) gene on chromosome 7q36.1.
View Article and Find Full Text PDFPlast Reconstr Surg
September 2025
Department of Plastic and Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1 Singil-ro, Yeongdeungpo-gu, Seoul, Republic of Korea 07441.
Background: The insertion of implants and tip plasties has been performed in Asian patients for an attractive and higher nasal profile, which can result in diverse tip deformations such as notching, pinching, alar retraction, incompetent external valve, deviated tip, cephalic rotation, and lateral crus malposition due to inappropriate manipulation of the lower lateral cartilage and/or silicone capsular contracture. This study aimed to investigate the effectiveness and utility of applying lateral crural strut graft (LCSG) as a consistent and appropriate surgical method to correct various nasal tip deformities that occur as complications following rhinoplasty in Asian patients.
Methods: We prospectively studied 37 patients with a minimum follow-up of 12 months among 53 patients who underwent secondary rhinoplasty, including LCSG, between January 2016 and December 2020.
Plast Reconstr Surg
September 2025
Children's Hospital of Philadelphia, Division of Plastic, Reconstructive, and Oral Surgery, Philadelphia, PA, USA.
The treatment of bilateral cleft lip (BCL) is inherently complex, attributed to the discontinuity of the orbicularis oris muscle, significant nasal deformities, and the distinctive anatomical characteristics of the prolabium1. Several operative techniques exist, including the well-known Millard and Manchester methods. The Manchester technique preserves the vermilion of the prolabium, joining them with the lateral lip components2.
View Article and Find Full Text PDFCureus
August 2025
Ear, Nose, and Throat (ENT) and Head and Neck Surgery, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, GRC.
The nose, a facial organ, not only plays a crucial role in olfaction and respiration but also has a major impact on the overall anatomy of the face. However, congenital anomalies affecting the nose can be challenging as they require both functional impairments and cosmetic concerns. Facial maldevelopments during the early embryonic period induce a wide-ranging nasal deformity.
View Article and Find Full Text PDFJ Biomech Eng
September 2025
Department of Chemical and Biomolecular Engineering, University of Deleware, Newark, Delaware USA.
The beauty of the respiratory system is that it advects air from the mouth/nose to the deep lung, providing a substrate for the gas exchange needed for life. Due to the close interaction of structure and function, the lungs can deform under very small amounts of pressure. In addition, the lung serves as the first barrier of defense against inhaled toxins.
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