Edgardo Rebagliatti Hospital.
Post Graduate Studies Department, Faculty of Medicine, San Martin de Porres University, Lima, Peru.
J Craniofac Surg. 2020 Sep;31(6):1521-1525. doi: 10.1097/SCS.0000000000006043.
This study represents a single surgeon's 10 years of experience addressing unilateral cleft lip and palate nose deformity. The purpose was to compare surgical outcomes and related complications using 3 different techniques to improve nasal shape in primary unilateral cleft rhinoplasty.
This retrospective study with Institutional Ethical Committee approval compares 3 groups of patients with unilateral cleft lip nose and palate who were operated on using different techniques from 2007 to 2017. Surgical outcomes were analyzed by physical examination at least 1 year after primary rhinoplasty. Anthropometric measurements were obtained for the cleft and noncleft sides of the nose.
Approach with general analysis indicated differences among the 3 techniques. The author's comparative study revealed differences in nose symmetry and related complications, including increased recurrence of nose deformity using the modified McComb technique. Better short-term nose symmetry was observed using Potter technique and the V-Y-Z rhinoplasty.
Potter approach and the V-Y-Z techniques achieve better short-term nose symmetry than the McComb method. Complications were less common in the group of patients operated on using the modified McComb technique. Additional studies are required to evaluate functional and long-term outcomes after primary rhinoplasty using the proposed methods.
本研究代表了一位外科医生 10 年来在解决单侧唇裂腭裂鼻畸形方面的经验。目的是比较使用 3 种不同技术改善初次单侧唇裂鼻整形术的鼻形的手术结果和相关并发症。
这项回顾性研究得到机构伦理委员会的批准，比较了 2007 年至 2017 年期间使用不同技术进行手术的 3 组单侧唇腭裂鼻患者。初次鼻整形术后至少 1 年通过体格检查分析手术结果。对鼻部的裂隙侧和非裂隙侧进行人体测量。
综合分析提示 3 种技术之间存在差异。作者的对比研究显示，鼻对称性和相关并发症存在差异，包括使用改良 McComb 技术后鼻畸形复发增加。使用 Potter 技术和 V-Y-Z 鼻成形术可观察到更好的短期鼻对称性。
与 McComb 方法相比，Potter 方法和 V-Y-Z 技术可实现更好的短期鼻对称性。使用改良 McComb 技术的患者组并发症较少。需要进一步研究评估使用所提出的方法进行初次鼻整形术后的功能和长期结果。
