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单侧唇裂鼻畸形的当前治疗进展

Current Treatment Progress of Unilateral Cleft Lip Nasal Deformities.

作者信息

Ye Jiandong, Wang Xiancheng, Xiao Muzhang

机构信息

Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital of Central South University, Changsha City, Hunan Province, People's Republic of China.

Department of Burn and Plastic Surgery, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.

出版信息

Aesthetic Plast Surg. 2024 Dec;48(23):4895-4901. doi: 10.1007/s00266-024-04154-3. Epub 2024 Jun 10.

DOI:10.1007/s00266-024-04154-3
PMID:38858243
Abstract

INTRODUCTION

Secondary nasal deformity following unilateral cleft lip is a common facial congenital malformation. Due to its complex treatment, there is currently no unified treatment plan in clinical practice. Dysplasia of cartilage, dislocation of muscles, and dysplasia of maxilla are the main causes of secondary nasal deformities of unilateral cleft lip. This article provides a comprehensive summary of the perioperative period and treatment process of unilateral cleft lip nasal deformities, aiming to find better clinical treatment guidance for patients with unilateral cleft lip and nasal deformity.

METHODS

A review of numerous previous studies on unilateral cleft lip nasal deformity, particularly within the last five years, was conducted to gather information on treatment strategies and perioperative care for unilateral cleft lip rhinoplasty.

CONCLUSION

Currently, there is still no unified final surgical method for the correction and treatment of unilateral cleft lip nasal deformity. In terms of surgical timing, simultaneous primary rhinoplasty and lip repair are gradually being recognized internationally, while intermediate rhinoplasty can be considered when it affects the patients social and psychological life. Patients with severe initial nasal deformity require multiple revisions. Secondary rhinoplasty remains the ideal treatment for final correction of secondary nasal deformities in unilateral cleft lip.

LEVEL OF EVIDENCE V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

引言

单侧唇裂继发鼻畸形是一种常见的面部先天性畸形。由于其治疗复杂,目前临床实践中尚无统一的治疗方案。软骨发育异常、肌肉移位和上颌骨发育异常是单侧唇裂继发鼻畸形的主要原因。本文对单侧唇裂鼻畸形的围手术期和治疗过程进行了全面总结,旨在为单侧唇裂鼻畸形患者寻找更好的临床治疗指导。

方法

回顾了大量以往关于单侧唇裂鼻畸形的研究,特别是过去五年内的研究,以收集单侧唇裂鼻整形术的治疗策略和围手术期护理方面的信息。

结论

目前,对于单侧唇裂鼻畸形的矫正和治疗仍没有统一的最终手术方法。在手术时机方面,同期一期鼻整形术和唇修复术在国际上逐渐得到认可,而当影响患者社交和心理生活时可考虑二期鼻整形术。初始鼻畸形严重的患者需要多次修复。二期鼻整形术仍然是单侧唇裂继发鼻畸形最终矫正的理想治疗方法。

证据水平V:本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南www.springer.com/00266 。

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本文引用的文献

1
A New Algorithm for Secondary Repair of Unilateral Cleft Lip Nasal Deformity.
Laryngoscope. 2024 Apr;134(4):1648-1655. doi: 10.1002/lary.31167. Epub 2023 Nov 22.
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Volumetric assessment of the nose after primary unilateral cleft rhinoplasty using Laberge's technique.应用 Laberge 技术的单侧唇裂初次鼻整形术后的鼻部容量评估。
J Plast Reconstr Aesthet Surg. 2023 Oct;85:446-453. doi: 10.1016/j.bjps.2023.07.021. Epub 2023 Jul 20.
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Three-dimensional reconstruction reveals the correlation between the extent of alveolar clefts and secondary nasal deformity in adults.三维重建揭示了成人牙槽裂程度与继发鼻畸形之间的相关性。
Hua Xi Kou Qiang Yi Xue Za Zhi. 2023 Aug 1;41(4):421-425. doi: 10.7518/hxkq.2023.2022466.
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Rhinoplasty in Patients with Cleft Lip Nasal Deformity: Correcting the Alar Base.唇裂鼻畸形患者的鼻整形术:矫正鼻翼基底
Facial Plast Surg. 2023 Dec;39(6):668-673. doi: 10.1055/a-2127-3665. Epub 2023 Jul 11.
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Comparing definitive unilateral cleft rhinoplasty with and without diced-cartilage alar-base augmentation: A retrospective cohort study.比较单侧唇裂鼻整形术中使用和不使用丁字形软骨鼻翼基底填充的效果:一项回顾性队列研究。
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Primary Unilateral Cleft Lip Rhinoplasty Technique: The Melbourne Technique.原发性单侧唇裂鼻整形术技术:墨尔本技术。
J Craniofac Surg. 2023 Jun 1;34(4):1347-1350. doi: 10.1097/SCS.0000000000009324. Epub 2023 Apr 18.
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Longitudinal Anatomic Analysis of Primary Cleft Lip Rhinoplasty Outcomes.
Facial Plast Surg Aesthet Med. 2023 Sep-Oct;25(5):425-430. doi: 10.1089/fpsam.2022.0301. Epub 2023 Mar 28.
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[Evaluation of the effect of repairing unilateral cleft lip nose deformity with autogenous concha cartilage].
Shanghai Kou Qiang Yi Xue. 2022 Dec;31(6):668-672.
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Postoperative Nasal Conformers in Cleft Rhinoplasty: Are They Efficacious?唇裂鼻整形术中的术后鼻整形器:它们有效吗?
J Craniofac Surg. 2023;34(5):1416-1419. doi: 10.1097/SCS.0000000000009213. Epub 2023 Feb 28.
10
Autologous Costal Cartilage With Expanded Polytetrafluorethylene (ePTFE) Implants for the Treatment of Nasal Deformity After Unilateral Cleft Lip Repair.自体肋软骨联合膨化聚四氟乙烯(ePTFE)植入物修复单侧唇裂术后鼻畸形。
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