REVISION RHINOPLASTY
SECONDARY RHINOPLASTY
greatest world authorities in this field and has the highest cure rates for this pathology throughout the world, currently 99% closure of perforations up to 3.5mm diameter in hundreds of patients operated on during a 16 year period (1989-2004). He has developed and perfected special technical-surgical details and equipment for treatment of this pathology.
Dr. Stédile has lectured to specialists in several parts of the world about the technical-surgical advances he has developed. He also runs annual courses for doctors in this field.
NASAL SEPTAL PERFORATION (a perforation of the membrane between the two nostrils) is becoming a more frequent complication due to the high number of nose injuries (arising from accidents, surgery, etc...) and also the use of cocaine, bringing patients many problems, such as frequent nose bleeding, bad-smelling nasal crusting, noise emission during breathing and nasal secretion (coryza).
Perforations larger than 1cm and located in the front part of the nasal septum tend to cause alterations to the aesthetic appearance of the nose, such as deepening of the nasal dorsum by destroying the nose support structure. IN THE GREAT MAJORITY OF CASES ASSOCIATED NASAL PLASTIC SURGERY IS NECESSARY to surgically correct perforations greater than 1 cm.
The most frequent cause of septal perforation is previous nasal surgery (the consequence of an unsuccessful operation). We recommend that nasal septum perforation patients choose their surgeon wisely. It is fundamentally important that surgical correction is carried out in the first operation after detection of nasal septum perforation. Surgery performed by INEXPERIENCED HANDS AND INADEQUATE TECHNIQUES CAN PERMANENTLY PREVENT PERFORATION CORRECTION with further surgery. POORLY PERFORMED SURGERY can deplete natural stocks of grafts (ear cartilage and temporal fascia), can further damage the nose tissue, irreversibly harming the BLOOD FLOW in the nasal septum area, which is of vital importance for the success of the operation.
A pioneer in the application of an innovative method for Surgical Correction of Septal Perforation in Brazil, Dr. Júlio Stédile, who is a SPECIALIST IN DIFFICULT AND COMPLEX NASAL SURGERY CASES, has developed surgical equipment to provide greater precision in manipulation of nasal and facial tissue.
Septal perforation repair surgery is a highly complex procedure. Therefore CHOOSE YOUR SURGEON CAREFULLY. It is essential for the surgeon to have profound knowledge of otolaryngology and facial plastic surgery, as treatment of this pathology is highly complex.
Using this new method, Dr. Stédile has achieved a 99% success rate of perforation closure compared with other described methods, which vary from 25-50% of usual techniques, with many of the methods described in medical literature not providing closure figures. This new technique of septal perforation closure has been applied by Dr. Júlio Stédile in Porto Alegre, Rio Grande do Sul, Brazil for about 16 years.
In addition to high rates of cure, this new technique can, and often MUST BE ASSOCIATED WITH CORRECTION OF THE AESTHETIC APPEARANCE OF THE NOSE DURING THE SAME SURGICAL PROCEDURE. Nasal Obstruction Correction Surgery and Endoscopic Sinus and Snoring Microsurgery can also be carried out at the same time. All those procedures are performed through internal incisions only.
The essence of the technique is based on the displacement of the submucoperichondrial, the submucoperiosteal from the entire nasal region (roof, floor) allowing extension of the displacement to the nasal cavity side walls. Care in handling of tissue is extremely important, as besides avoiding lesions it preserves the vascularisation of the nasal septum tissue.
Dr. Júlio Stédile has great experience in Otorhinolaryngological and Facial Plastic Surgery, being one of the global authorities in this area.
CHOOSE YOUR SURGEON WISELY. There is a significant difference between the quality of medical work, in much the same way as there is in other professions (lawyers, teachers, carpenters, baby-sitters, etc.).
DIFFERENT SURGEONS HAVE DIFFERENT TRAINING, DIFFERENT WAYS OF WORKING AND ACHIEVE SIGNIFICANTLY DIFFERENT SURGICAL RESULTS.
• THE UNIVERSITY OF MIAMI SCHOOL OF MEDICINE, USA, conferred an award to Dr. Júlio Stédile Ribeiro and his team for Technical Innovations demonstrated in Septal Perforation Repair, in September 1997.