Fawzy Hossam Hassan, Hassan Omar Mahmoud Ibrahim, Elsakka Dalia
From the Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
Plast Reconstr Surg Glob Open. 2025 Sep 12;13(9):e7093. doi: 10.1097/GOX.0000000000007093. eCollection 2025 Sep.
Achieving symmetry in the correction of cleft lip nasal deformities presents a significant challenge in craniofacial surgery, particularly due to the complex anatomical variations and the inherent asymmetry in patients with recessed alar bases. These challenges are compounded by the difficulty in accurately restoring the bone structure on the cleft side, which is crucial for achieving a balanced and aesthetically pleasing outcome. This study addressed these challenges by exploring the integration of 3-dimensional computer-aided design technology in the preoperative planning and execution of bone grafting procedures. Although the primary innovation lies in improving the precision of maxillary augmentation, the study highlighted the broader impact of such technology in overcoming the persistent difficulties in achieving postoperative symmetry. By enabling more accurate simulations and surgical planning, this approach aims to reduce variability in surgical outcomes and enhance the symmetry of the nasal and lip regions. Despite the advancements in computer-aided design technology, the study highlights the ongoing difficulties in restoring symmetry in cleft lip patients, emphasizing the need for continuous refinement of surgical techniques to achieve more consistent results. The complexities involved in these procedures highlight the importance of technological innovation in addressing the unique challenges posed by cleft-related deformities.
在颅面外科手术中，实现唇裂鼻畸形矫正的对称性是一项重大挑战，尤其是由于复杂的解剖变异以及鼻翼基部凹陷患者固有的不对称性。准确修复腭裂侧的骨骼结构存在困难，这对实现平衡且美观的效果至关重要，进一步加剧了这些挑战。本研究通过探索三维计算机辅助设计技术在骨移植手术术前规划和实施中的整合来应对这些挑战。尽管主要创新在于提高上颌骨增大的精度，但该研究强调了此类技术在克服术后对称性方面持续存在的困难方面的更广泛影响。通过实现更精确的模拟和手术规划，这种方法旨在减少手术结果的变异性，并增强鼻唇区域的对称性。尽管计算机辅助设计技术取得了进步，但该研究强调了在唇裂患者中恢复对称性方面仍然存在的困难，强调需要不断完善手术技术以获得更一致的结果。这些手术中涉及的复杂性凸显了技术创新在应对唇裂相关畸形带来的独特挑战方面的重要性。
