-Mauricio Buitrago, MD.
Dean M. Toriumi MD. came to San Jose Costa Rica on a probono mission trip to help patients with complex nasal deformities from April 22 to April 28 2013. Dr. Toriumi used complex surgical techniques that are not commonly used in Costa Rica. He harvested rib cartilage and performed complex cartilage grafting on a young man with a bilateral cleft lip nasal deformity . This patient underwent several previous surgeries and had severely deficient nasal tip projection and a very wide nasal tip with nasal obstruction. Dr. Toriumi performed a very successful operation and the patient has done very well since surgery and is very happy with his outcome both from an appearance point of view and from a functional standpoint. Dr. Toriumi also operated on a patient with a severely deviated nose with nasal obstruction who underwent a couple of previous surgeries. He performed rib cartilage harvest and cartilage grafting to correct the patients breathing problems. Dr. Toriumi performed the surgeries at the Clinica Biblica Hospital and the public children's hospital in San Jose. Other patients had severe functional problems and complex nasal deformities.
In addition to performing the surgeries on the patients Dr. Toriumi also taught Costa Rican surgeons in the operating room. He provided a very concise didactic experience explaining all of the maneuvers so the observing surgeons could understand the surgeries . He also gave an 80 minute presentation to the Costa Rican surgeons to augment the teaching points made in surgery.
This was a very special mission trip donated by Dr. Torium i and we are very grateful for his generosity and donated time and expense.
Mauricio Buitrago, MD.
Otolaryngology Department Hospital Clinica Biblica
Costa Rica
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