State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.
Cleft Palate Craniofac J. 2023 Jul;60(7):851-857. doi: 10.1177/10556656221083812. Epub 2022 Mar 2.
This study aimed to investigate the outcomes of using a novel nasal clip designed for nostril retention after primary unilateral cleft rhinoplasty.
This is a retrospective study.
Department of Cleft Lip and Palate in a stomatological hospital.
A retrospective study was conducted on 57 patients who had a unilateral complete cleft lip without cleft palate and underwent primary surgical repair.
The patients were categorized into 3 groups: the group in which the conventional nasal retainer was used, that in which the nasal clip was used, and the control group in which no postoperative nasal retainer was used. The nasal retainer or our nasal clip was applied 7 days after primary surgical repair and kept in the nostrils of children from 6 to 12 months.
Noses underwent photogrammetry preoperatively, postoperatively, and at follow-up. The nose was also subjectively scored at the follow-up.
The nasal retainer and the nasal clip significantly minimized relapse as determined by nasal tip deviation. The nasal clip sustained nasal symmetry, as determined by the postoperative nostril width ratio, better than did the conventional retainer. After 6 to 12 months, the nasal clip achieved better columellar morphology and a more symmetric nasal base than did the conventional nasal retainer. Statistical differences in subjective scores between the control and nostril retention groups were noted.
The application of the novel nasal clip after primary unilateral cleft rhinoplasty preserves nasal morphology and reduces postoperative relapse without the need for adhesive tape.
本研究旨在探讨一种新型鼻夹在单侧完全性唇裂初次修复术后保持鼻孔形态中的应用效果。
回顾性研究。
某口腔医院唇腭裂治疗中心。
回顾性分析了 57 例单侧完全性唇裂患者的临床资料，这些患者均未合并腭裂，且初次手术修复后采用常规鼻腔支撑法、鼻夹固定法或不采用任何鼻腔支撑法。
初次手术修复后第 7 天开始，分别采用常规鼻腔支撑法、鼻夹固定法或不采用任何鼻腔支撑法固定鼻腔，3 组患者均于术后 6~12 个月去除鼻腔支撑物。
术前、术后及随访时行鼻侧位片测量，术后及随访时对鼻部进行主观评价。
与常规鼻腔支撑法相比，鼻夹固定法和常规鼻腔支撑法均能明显减少鼻尖偏斜度，从而减小术后畸形复发，但鼻夹固定法在维持鼻孔对称性方面优于常规鼻腔支撑法。术后 6~12 个月，鼻夹固定法在维持鼻中隔形态和鼻基底对称性方面优于常规鼻腔支撑法。此外，不采用鼻腔支撑法组患者的主观评分显著低于采用鼻腔支撑法组患者。
单侧完全性唇裂初次修复术后应用新型鼻夹可以保持鼻孔形态，减少术后畸形复发，且无需使用胶带固定。
