title: Unblocking the nose by unplugging the ear: the use of foam ear defenders as a splint following secondary cleft rhinoplasty.
abstract: OBJECTIVE
  The functional and aesthetic result from secondary cleft rhinoplasty is commonly impaired by a bulge in the lateral nasal vestibule, which can relapse in the postoperative period despite careful intraoperative correction. We aim to improve our results by using a foam ear defender as a postoperative splint to prevent relapse.
  
  
  METHODS
  Case series of 10 patients with photographs of a typical clinical case.
  
  
  METHODS
  The postoperative nasal pack was exchanged with a foam ear defender on day 5. The splint was worn continuously for 3 to 4 weeks, then nightly for 3 months. The splint was changed daily by the patient.
  
  
  METHODS
  The results were assessed clinically by the senior author.
  
  
  RESULTS
  The patients had little or no recurrence of the lateral vestibular bulge following nasal splintage.
  
  
  CONCLUSIONS
  Foam ear defenders are a simple, cheap, and comfortable method to provide splintage to the nasal vestibule following secondary cleft rhinoplasty.
authors.affiliation: The Dutch Association for Facial Plastic and Reconstructive Surgery, The Netherlands. lindajtreharne@aol.com
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Treharne
authors.forename: Jacques J N M
authors.initials: JJ
authors.lastname: van der Meulen
mesh_terms: D002972:Cleft Palate / Q000150:complications*; D004430:Ear Protective Devices; D006801:Humans; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D011182:Postoperative Care / Q000295:instrumentation; D012225:Rhinoplasty / Q000295:instrumentation*; D055502:Secondary Prevention; D013165:Splints