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一期唇裂鼻修复术后是否需要进行鼻腔支架置入?

Is Postoperative Nasal Stenting Necessary After Primary Cleft Lip and Nose Repair?

作者信息

Marston Alexander P, Tollefson Travis T

机构信息

Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, University of California, Sacramento, California, U.S.A.

出版信息

Laryngoscope. 2025 Mar;135(3):971-972. doi: 10.1002/lary.31780. Epub 2024 Sep 21.

DOI:10.1002/lary.31780
PMID:39305210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11830958/
Abstract

The repair of an infant with cleft lip includes treatment of the nasal deformity using surgical repositioning of the nasal cartilages. In some cases, the nose is molded before surgery, termed nasoalveolar molding, and in others, postoperatively with nostril stents for a variable amount of time. This best practice evaluation fails to make a definitive evidence-based conclusion, yet the benefits of stenting seem to outweigh the risks.

摘要

婴儿唇裂修复包括通过鼻软骨手术复位来治疗鼻畸形。在某些情况下,术前对鼻子进行塑形,称为鼻牙槽塑形,而在其他情况下,则在术后使用鼻孔支架固定一段时间。这项最佳实践评估未能得出明确的循证结论,但支架固定的益处似乎超过风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d4f/11830958/eefdea50ccdd/LARY-135-971-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d4f/11830958/eefdea50ccdd/LARY-135-971-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d4f/11830958/eefdea50ccdd/LARY-135-971-g001.jpg

相似文献

1
Is Postoperative Nasal Stenting Necessary After Primary Cleft Lip and Nose Repair?一期唇裂鼻修复术后是否需要进行鼻腔支架置入?
Laryngoscope. 2025 Mar;135(3):971-972. doi: 10.1002/lary.31780. Epub 2024 Sep 21.
2
Postoperative nasal forms after presurgical nasoalveolar molding followed by medial-upward advancement of nasolabial components with vestibular expansion for children with unilateral complete cleft lip and palate.对于单侧完全性唇腭裂患儿,术前进行鼻牙槽塑形,随后通过鼻唇结构的内侧向上推进并进行前庭扩展,术后的鼻腔形态。
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A 12-year anthropometric evaluation of the nose in bilateral cleft lip-cleft palate patients following nasoalveolar molding and cutting bilateral cleft lip and nose reconstruction.双侧唇裂腭裂患者行鼻牙槽塑形和切开双侧唇裂鼻重建术后 12 年的鼻部人类学评估。
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Long-term comparison of the results of four techniques used for bilateral cleft nose repair: a single surgeon's experience.四种双侧唇裂鼻修复技术效果的长期比较:一位外科医生的经验
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[Cleft rhinoplasty, from primary to secondary surgery].[鼻裂修复术,从一期手术到二期手术]
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Rapid intraoperative fabrication of an inexpensive, reliable nasal stent for use after primary cleft nasal repair.在一期腭裂鼻修复术后快速术中制作一种廉价、可靠的鼻支架以供使用。
Cleft Palate Craniofac J. 2014 Sep;51(5):e110-2. doi: 10.1597/13-205. Epub 2014 Apr 15.

本文引用的文献

1
The Role of Postoperative Nasal Stents in Cleft Rhinoplasty: A Systematic Review.术后鼻腔支架在唇腭裂鼻整形术中的作用:系统评价。
Cleft Palate Craniofac J. 2024 Dec;61(12):1941-1950. doi: 10.1177/10556656231190703. Epub 2023 Jul 28.
2
Long-Term Outcome of Primary Rhinoplasty with Overcorrection in Patients with Unilateral Cleft Lip: Avoiding Intermediate Rhinoplasty.单侧唇裂患者一期隆鼻过度矫正的长期效果:避免二期隆鼻
Plast Reconstr Surg. 2023 Mar 1;151(3):441e-451e. doi: 10.1097/PRS.0000000000009923. Epub 2022 Nov 22.
3
Efficacy of Postsurgical Nostril Retainer in Patients with Unilateral Cleft Lip and Palate Treated with Presurgical Nasoalveolar Molding and Primary Cheiloplasty-Rhinoplasty.
术前鼻牙槽塑形和唇裂修复术联合治疗单侧唇裂腭裂患者术后鼻瓣复位器的疗效。
Plast Reconstr Surg. 2022 Sep 1;150(3):623-629. doi: 10.1097/PRS.0000000000009426. Epub 2022 Jul 1.
4
Quality of life and nasal splints after primary cleft lip and nose repair: Prospective assessment of information and tolerance.初次唇裂鼻修复术后的生活质量和鼻腔夹板:信息和耐受性的前瞻性评估。
J Craniomaxillofac Surg. 2018 Oct;46(10):1783-1789. doi: 10.1016/j.jcms.2018.07.022. Epub 2018 Aug 9.
5
The use of nasal splints in the primary management of unilateral cleft nasal deformity.鼻夹板在单侧唇裂鼻畸形一期治疗中的应用。
Plast Reconstr Surg. 1999 Apr;103(5):1347-54. doi: 10.1097/00006534-199904050-00002.