<?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>1130-0558</journal-id>
<journal-title><![CDATA[Revista Española de Cirugía Oral y Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Cirug Oral y Maxilofac]]></abbrev-journal-title>
<issn>1130-0558</issn>
<publisher>
<publisher-name><![CDATA[ Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-05582018000100007</article-id>
<article-id pub-id-type="doi">10.1016/j.maxilo.2017.03.004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Septoplastia extracorpórea para la correción nasal en casos complejos. Resultados en 16 pacientes]]></article-title>
<article-title xml:lang="en"><![CDATA[Extracorporeal septoplasty for nasal correction in complex cases. Results in 16 patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Gallo]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Otero]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pingarrón-Martín]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacios-Weiss]]></surname>
<given-names><![CDATA[Edurne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ruber Juan Bravo Servicio de Cirugía Maxilofacial ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario La Paz Servicio de Cirugía Maxilofacial ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Rey Juan Carlos Servicio de Cirugía Maxilofacial ]]></institution>
<addr-line><![CDATA[Móstoles Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Virgen de la Salud Servicio de Cirugía Maxilofacial ]]></institution>
<addr-line><![CDATA[Toledo ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-05582018000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-05582018000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-05582018000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivos: La desviación septal es una de las causas principales de insuficiencia respiratoria nasal y de asimetría nasal. La septorrinoplastia abierta o cerrada en ocasiones no logra buenos resultados, muchas veces por grave desviación de la parte anterior del septum nasal. Mostramos los resultados de la septoplastia extracorpórea para tratar casos difíciles de desviación septonasal.  Pacientes y método: Se analizan 16 septoplastias extracorpóreas con rinoplastia abierta consecutivas. La técnica es la disección completa del septum cartilaginoso y óseo seguido de una resección septal completa y reconstrucción en la mesa de quirófano de un nuevo «strut» en forma de L. El «strut» es suturado en 3 puntos: la zona K, los cartílagos nasales superiores y la espina nasal anterior. Cada caso individualizado precisa de maniobras complementarias de septorrinoplastia (reducción de dorso, osteotomías, puntoplastia, etc.). Revisamos las historias clínicas y las fotografías pre- y postoperatorias.  Resultados: La principal indicación para la cirugía ha sido la secuela de un trauma nasal severo (9 casos), seguido de las secuelas de labio y paladar hendido (2 casos). Tres pacientes eran casos de rinoplastia secundaria (uno de ellos con cirugía ortognática, además). La fractura septal cartilaginosa conminuta fue el hallazgo intraoperatorio más frecuente. Todos los pacientes refieren una importante mejoría de su obstrucción nasal y percepción satisfactoria en su aspecto estético. Las fotografías muestras una importante mejoría de la simetría nasal y del aspecto estético general de la nariz.  Conclusiones: La septoplastia extracorpórea es útil en casos difíciles de septorrinoplastia, con escasas complicaciones en nuestra serie.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Septal deviation is one of the main causes of respiratory nasal insufficiency and external asymmetry. Septorhinoplasty, either open or closed, is sometimes unable to achieve good results, mostly due to a severe deviation of the anterior part of the septum. The results of extracorporeal septoplasty in the management of difficult cases of septonasal deviations are presented.  Material and methods: An analysis was performed on 16 consecutive extracorporeal septoplasties. The technique consisted of a complete dissection of bony and cartilaginous septum, followed by complete septal resection and reconstruction «on the table» of a new anterior «L strut». This strut was then sutured to the K area, superior nasal cartilages, and anterior nasal spine. Other rhinoplasty steps were done as necessary. A review is presented of the clinical charts and pre- and post-surgical photographs.  Results: Main indications for surgery have been a severely crooked nose (9 cases), followed by nasal sequelae of cleft lip and palate (2 cases). Three patients had a previous septorhinoplasty performed (one of them plus orthognathic surgery). Comminute cartilage fracture was the most common intra-operative finding. All patients have reported a significant relief of their nasal obstruction, and a clear improvement of their aesthetics. The photographs showed a significant improvement in nasal symmetry and enhancement of dorsal, tip, and columellar projection when indicated.  Conclusions: Extracorporeal septoplasty is very useful in difficult cases of septorhinoplasty and has few complications. Technical details are described.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía nasal]]></kwd>
<kwd lng="es"><![CDATA[Rinoplastia]]></kwd>
<kwd lng="es"><![CDATA[Deformidades nasals, Adquiridas]]></kwd>
<kwd lng="es"><![CDATA[Obstrucción nasal]]></kwd>
<kwd lng="en"><![CDATA[Nasal surgery]]></kwd>
<kwd lng="en"><![CDATA[Rhinoplasty]]></kwd>
<kwd lng="en"><![CDATA[Nose deformities, Acquired]]></kwd>
<kwd lng="en"><![CDATA[Nasal obstruction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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