Mabrouk Adel, Badawy Mohamed Samir, Hammad Mai Raafat, Mabrouk Amr
Department of Plastic, Burn and Maxillofacial Surgery, Ain Shams University, Egy54 Abdullah Ebn Taher Street, Nasr City, Cairo, 11731, Egypt.
Maxillofac Plast Reconstr Surg. 2024 Nov 4;46(1):36. doi: 10.1186/s40902-024-00448-3.
Controversy exists regarding the timing of rhinoplasty for patients with cleft lip as some surgeons shy away from primary correction for fear of causing harm to the growth of the nose and the maxilla. We present our favorable experience with primary rhinoplasty with repair of unilateral cleft lip in Ain Shams University plastic surgery department, providing insights into the specific management of patients of middle eastern descent.
Prospective study of 32 patients, ages 3 months- 1 year with unilateral CL presenting to Ain Shams University hospitals between January 2019 and July 2022. Primary rhinoplasty was performed at the time of lip repair. Lip repair was done by Tennison-Randall technique. Evaluation of results was done by expert analysis of photographs, anthropometric measurements, and parents' satisfaction.
Over-all concordance rate was 93% and inter-observer concordance was 89%. Non-significant differences were found between cleft and noncleft sides regarding nostril dome height, columellar length, and alar width 6 months post-operatively. 81.25% of the parents were very satisfied with the results.
Our study targeted a cohort of Egyptian patients with unilateral cleft lip, who underwent primary rhinoplasty and the time of lip repair, showing favorable results, supporting the literature advocating for this timing, but limited by relatively short follow up period. To the best of the authors' knowledge, this is the first study in Egypt to highlight the outcomes and direct experience for primary rhinoplasty with cleft lip repair in an Egyptian population.
唇裂患者鼻整形术的时机存在争议，一些外科医生因担心对鼻子和上颌骨的生长造成损害而回避一期矫正。我们介绍了艾因夏姆斯大学整形外科进行一期鼻整形术修复单侧唇裂的良好经验，为中东血统患者的具体管理提供见解。
对2019年1月至2022年7月期间在艾因夏姆斯大学医院就诊的32例年龄在3个月至1岁的单侧唇裂患者进行前瞻性研究。在修复唇部时进行一期鼻整形术。唇部修复采用坦尼森-兰德尔技术。通过对照片的专家分析、人体测量和家长满意度来评估结果。
总体符合率为93%，观察者间符合率为89%。术后6个月，裂隙侧和非裂隙侧在鼻孔穹窿高度、鼻小柱长度和鼻翼宽度方面无显著差异。81.25%的家长对结果非常满意。
我们的研究针对一组埃及单侧唇裂患者，他们接受了一期鼻整形术和唇部修复，结果良好，支持了主张该时机的文献，但受随访期相对较短的限制。据作者所知，这是埃及第一项强调埃及人群一期鼻整形术修复唇裂的结果和直接经验的研究。
