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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.

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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