<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922019000200004</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922019000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evidencia medida de resultados en rinoplastia abierta convencional con autoinjertos espaciadores]]></article-title>
<article-title xml:lang="en"><![CDATA[Measured evidence of results in conventional open rhinoplasty with spreader grafts]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rungs Brown]]></surname>
<given-names><![CDATA[David de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Piña]]></surname>
<given-names><![CDATA[Raymundo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zamora Madrazo]]></surname>
<given-names><![CDATA[Adolfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Panamericana  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<fpage>115</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922019000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922019000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922019000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo La válvula nasal interna (VNI) se localiza en la unión de los cartílagos laterales superiores con el septum nasal. Ocasionalmente, el cartílago lateral superior se colapsa y provoca sensación de dificultad ventilatoria e inconformidad estética. Nos proponemos determinar la asociación entre variables tomográficas y la mejoría estética funcional lograda a los 3 meses de la colocación de injertos espaciadores.  Material y método Estudio sobre pacientes con inconformidad simultánea tanto estética nasal, como de sensación de dificultad ventilatoria sometidos a rinoplastia con injertos espaciadores y descripción de algunos casos. Mediante tomografía (ventana ósea) la VNI, así como la presencia o ausencia subjetiva de mejoría estética y/o ventilatoria. Realizamos pruebas para homogeneizar datos sobre las variables demográficas de la muestra en estudio: Chi-cuadrado para ángulo pre y postoperatorio y espesor del injerto espaciador; prueba binomial para presencia y ausencia de &#8220;V&#8221; invertida; Kolmogorov-Smirnov para edad. Para cada variable analizamos la mejoría estética y ventilatoria con RR (IC al 95%), VPP y VPN.  Resultados Muestra de 61 pacientes. Diámetro del injerto espaciador: &gt;4mm (27.9%), RR mejoría ventilatoria 1.43 (IC al 95%, 1.12-1.82); 2-4mm (44.3%); 2mm(27.9%). Ángulo valvular preoperatorio: 15-10º (16.4%); 10-5º (50.8%); &lt;5º (32.8%). Ángulo valvular postoperatorio: 10º (44.3%); 10-15º (47.5%); &gt;15º (8.2%). Presencia (63.9%) o ausencia (36.1%) de deformidad nasal en &#8220;V&#8221; invertida. Mejoría ventilatoria y estética (60.7%), mejoría estética aislada (11.5%), mejoría ventilatoria aislada (13.1%), sin alguna mejoría (14.8%).  Conclusiones El injerto espaciador &gt;4 mm está asociado a mejoría ventilatoria de manera estadísticamente significativa con significancia clínica variable, así como el ángulo valvular preoperatorio de 15-10º se encuentra asociado a mejoría estética y ventilatoria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective The internal nasal valve (INV) is located in the middle third of the nose where the upper lateral cartilages join the nasal septum. Sometimes, the upper lateral cartilage collapses and causes ventilatory difficulty and aesthetic nonconformity. Our aim is to associate tomographic variables with sensation of aesthetic and ventilatory improvement, 3 months after using spreader-grafts.  Methods Longitudinal study of patients with simultaneous nasal aesthetic non conformity and ventilation difficulty that undergo rhinoplasty with spreader-graft collocation, and description of some surgical examples. Bone-based CT determines preoperative and 3 months postoperative angles of the INV; subjective aesthetic and/or ventilatory improvement is recorded clinically too. A comparative analysis was carried out, testing for the homogeneity of the sample data: Chi-squared test for pre and postoperative angles, as well as for spreader-graft diameter; binomial test for &#8220;V&#8221; deformity; Kolmogorov-Smirnov for age. In order to associate each independent variable with aesthetic and ventilatory improvement, RR (CI 95%), PPV and NPV were calculated.  Results Sample with 61 patients. Spreader-graft diameter: &gt;4mm (27.9%), RR ventilatory improvement 1.43 (IC al 95%, 1.12 -1.82); 2-4mm (44.3%); 2mm (27.9%). Preoperative valve angle: 15-10º (16.4%); 10-5º (50.8%); &lt;5º (32.8%). Postoperative valve angle: 10º (44.3%); 10-15º (47.5%); &gt;15º (8.2%). With (63.9%) or without (36.1%) inverted &#8220;V&#8221; nasal deformity. Aesthetic and ventilatory improvement (60.7%), isolated aesthetic improvement (11.5%), isolated ventilatory improvement (13.1%), no improvement at all (14.8%).  Conclusions Spreader-graft &gt;4 mm has a statistically significant association with ventilatory improvement, along with variable clinical significance; 15-10º preoperative valve angle is associated as well with aesthetic and ventilatory improvement.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Rinoplastia]]></kwd>
<kwd lng="es"><![CDATA[Rinoplastia abierta]]></kwd>
<kwd lng="es"><![CDATA[Injerto espaciador]]></kwd>
<kwd lng="es"><![CDATA[Válvula nasal interna]]></kwd>
<kwd lng="en"><![CDATA[Rhinoplasty]]></kwd>
<kwd lng="en"><![CDATA[Open rhinoplasty]]></kwd>
<kwd lng="en"><![CDATA[Spreader graft]]></kwd>
<kwd lng="en"><![CDATA[Internal nasal valve]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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