Gilbert J Nolst Trenité

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Several important factors to consider in the surgical repair of the cleft lip nose are described: the importance of an adequate lip closure technique to ensure symmetry can prevent a more conspicuous deformity of the nose during growth, the consequences of secondary rhinoplasty in the growing nose in which the surgeon has to weigh the possible growth(More)
There has still been no reduction in the detection rate worldwide for leprosy, despite supervised multi-drug therapy. In time, leprosy can result in a severe saddle-nose deformity leading to functional problems, disfiguration and stigmatization. In severe cases, only the nasal skin tissue and the lower lateral cartilages are preserved. In such cases, the(More)
A detailed study of the nose was undertaken in 40 leprosy patients with different classifications of leprosy and different durations of disease at two hospitals in Brazil. This manuscript describes the immunohistochemical data on cellular infiltrates in the nasal biopsies of those patients. It was surprising that the damage to the whole depth of the nasal(More)
OBJECTIVE In cases of dissatisfaction after rhinoplasty for esthetic or functional reasons, or both, revision rhinoplasty may be advocated to improve the patients' nasal performance. In contrast to studies on primary rhinoplasty, no objective outcome evaluation parameter has been validated in revision rhinoplasty, nor has there been a study specifically(More)
BACKGROUND There is no consensus about the value of objective measurements of nasal patency. OBJECTIVE To assess the correlation between the subjective sense of nasal patency and the outcomes found with rhinomanometry and acoustic rhinometry. TYPE OF REVIEW Structured literature search. SEARCH STRATEGY AND EVALUATION METHOD: Review of English-language(More)
OBJECTIVE To assess the long-term efficacy of irradiated homologous rib grafts (IHRGs) for both augmentation and support function in rhinoplasty in general and for specific recipient sites within the nose. DESIGN A retrospective study was conducted at an academic medical center to evaluate the loss of volume and support function of IHRGs in 9 specific(More)
OBJECTIVE To determine whether late complications after septoplasty in growing septal cartilage in children can be prevented by the use of a resorbable polydioxanone (PDS) foil in combination with the cartilage. DESIGN Animal study with 45 young rabbits, operated on at the nasal septum. Four typical septoplasty procedures were carried out, including(More)
The effects of restoration of the dorso-ventral continuity of the nasal septum on the growth of the nose was investigated in growing rabbits. Submucous resection of the middle third of the septal cartilage resulted in characteristic growth disturbances of nose and maxilla. Reimplantation of the resected strip of autologous cartilage did not restore the(More)
One remaining problem of nose surgery is surgical correction of a prepubertal distortion of the septum. Unfortunately, the growing cartilage reacts differently upon a surgical intervention; in most cases this might cause iatrogenic disturbance of the development. Our clinical and histological studies with polydioxanone (PDS) foil in septal reconstruction(More)
A series of experiments were carried out on growing rabbits to investigate the effect of rotation (through 90 degrees and 180 degrees) or crushing of autologous cartilage implants on growth of the nose. Reconstruction of the nasal septum with rotated or crushed implants did not restore the normal growth of the nose. This is in accordance with the results of(More)