Current primary cleft nose correction techniques are associated with a significant rate of long term alar collapse. The nasal lining on the cleft side has been observed to be distorted and deficient. Nasal endoscopy was used to map the two dimensional topogra- phy of the anterior nasal airway lining in a normal and patient with unilateral cleft lip.

Sepsis results in intense disturbances in homoeostasis and is responsible for considerable morbidity and mortality in early infancy. Owing to insufficiency on part of infant to develop adequate inflammatory response to localize the infection, they usually progress to disseminated systemic infection, pneumonia and/or meningitis.

We wish to highlight our experience of the endoscopic assisted craniosynostosis technique in the context of a developing healthcare system. In developing countries, internet penetration is increasing and parents are using the internet to research latest technical advances to seek treatment early.