Afterwards, nasolabial flaps are placed to sustain the shape of the nose, specifically the alar groove. Speech therapy
Patients who are affected by speech impairments can be treated by speech therapy.Speech disability can be a manifestation of various physical or psychological causes. Symptomatic treatment of it is carried out after diagnostic tests such as video fluoroscopic barium study ("cookie swallow" test) or fiber-optic endoscopic evaluation. Despite the diversity in speech therapy techniques, most treatment plans follow the same progression:
Identification of defective features
Assistance with producing simple sounds; physical contact may be required to aid with motor speech disorders
Refrainment of assistance that allows patient to develop self-correction ability
Increase in length of syllables or speech
Self-evaluation of progress and provide explanation on the cause of improvementsFor post-treatment monitoring, computer-based speech therapy that makes use of instructional software can provide computer-led practices as aftercare and quantify performances outside of conventional treatments. Epidemiology
Filippi syndrome is rare, with an estimated prevalence of less than one in a million. It has around thirty cases recorded in medical literature.The number of affected males recorded is more than twice the number of affected females. However, this is insufficient to conclude that male are at a higher risk due to the small number of reported cases. However, the CDC says less than 25 cases have been reported, the National Organization for Rare Disorders says about 18 cases have been reported, while the National Center for Advancing Translational Sciences says 30 cases have been reported in literature. == References ==
Platinosis is an allergy-like reaction to exposure to soluble salts of platinum. The symptoms of platinosis may include asthma, dermatitis, dyspnea, conjunctival vasodilatation, and rhinopharyngitis. The symptoms are progressive, sometimes taking months to years to appear. Platinosis is usually associated with workers in industries related to platinum production. The effects are permanent. Halogeno-platinum compounds are among the most potent respiratory and skin sensitisers known, therefore it is vital that exposure via the skin and by breathing contaminated air is carefully controlled. In practice, the compounds mainly responsible for platinum sensitisation are typically the soluble, ionic, platinum-chloro compounds such as ammonium hexachloroplatinate and tetrachloroplatinate, and hexachloroplatinic acid. Other ionic halogeno compounds are also sensitisers, the order of allergenicity being Cl > Br > I. Neutral compounds such as cis-platin and ammine and nitro complexes such as [Pt(NH3)4]Cl2, K2[Pt(NO2)4] and platinum nitrate are not considered to be allergenic; neither is the metal. See also
Heavy metal poisoning

References
Parrot, Jl; Hébert, R; Saindelle, A; Ruff, F (Nov 1969). "Platinum and platinosis. Allergy and histamine release due to some platinum salts". Archives of Environmental Health. 19 (5): 685–91. doi:10.1080/00039896.1969.10666910. PMID 4187030. Saindelle, A; Ruff, F; Hébert, R; Parrot, Jl (Oct 1968). "A new histamine liberator: chloroplatinate. An occupational allergy: platinosis" [A new histamine liberator: chloroplatinate. An occupational allergy: platinosis]. Revue Française dAllergologie (in French). 8 (4): 205–14. doi:10.1016/S0370-4688(68)80018-3. PMID 4180839. Parrot, Jl; Saindelle, A; Ruff, F (Dec 1967). "Platinum and platinosis. Histamine release by some platinum salts and platinum allergy" [Platinum and platinosis.