Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191, China.
Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191, China.
J Plast Reconstr Aesthet Surg. 2024 Mar;90:130-148. doi: 10.1016/j.bjps.2024.01.023. Epub 2024 Feb 1.
The purpose of the study was to comprehensively review the improvement in nasal airway obstruction after secondary rhinoplasty for cleft lip.
The search was conducted on PubMed, Embase, and Scopus databases for relevant studies published within the past twenty years. Inclusion criteria encompassed patients undergoing secondary rhinoplasty with cleft lip nasal deformity and some evaluation of the nasal outcome.
A thorough analysis of available studies identified 29 articles that met the inclusion criteria for final assessment. Seven (24.1%) studies were classified as Therapeutic Ⅱ (T II) according to the American Society of Plastic Surgeons level of evidence scale, while the majority were categorized as T III (17.2%), T IV (51.7%), and T V (6.9%). Subjective methods were employed in 21 articles to measure nasal ventilation outcomes, whereas 8 studies utilized objective methods. Overall findings from all included studies consistently indicated an improvement in nasal ventilation post-surgery.
Although there is no consensus regarding the impact of secondary rhinoplasty on nasal airway obstruction in cleft lip patients, this review suggests that it can effectively alleviate such obstructions. We conducted an anatomical analysis to investigate the impact of various surgical techniques on nasal ventilation to provide recommendations for postoperative ventilation assessment.
本研究旨在全面回顾唇裂继发鼻整形术后鼻气道阻塞的改善情况。
在 PubMed、Embase 和 Scopus 数据库中进行了相关研究的检索，检索时间为过去 20 年。纳入标准包括接受唇裂鼻畸形继发鼻整形术的患者，以及对鼻部结果进行了某种评估的患者。
对现有研究进行全面分析后，确定了 29 篇符合最终评估标准的文章。根据美国整形外科学会证据等级量表，有 7 项（24.1%）研究被归类为治疗性研究Ⅱ（T II），而大多数研究被归类为 T III（17.2%）、T IV（51.7%）和 T V（6.9%）。21 篇文章采用主观方法来测量鼻通气结局，而 8 篇研究采用了客观方法。所有纳入研究的总体结果均一致表明，术后鼻通气得到改善。
尽管对于唇裂患者继发鼻整形术对鼻气道阻塞的影响尚无共识，但本综述表明，它可以有效地缓解此类阻塞。我们进行了解剖学分析，以研究各种手术技术对鼻通气的影响，为术后通气评估提供建议。
