在裂患者中进行鼻整形和Le Fort I大骨切除术
Roni Harjunpää1, Annemari Grann, Anne Saarikko
1Department of Plastic Surgery, Cleft Palate and Craniofacial Center, Helsinki University Hospital and Helsinki University, Helsinki, Finland.
The Journal of craniofacial surgery
|November 20, 2023
概括
接受大骨切除术的裂口患者中,近一半需要进行鼻美术,而双边和单边裂口唇和口患者最需要它. 阶段和同时手术的并发症率相似.
科学领域:
- 整形外科 整形外科 整形外科
- 面外科手术 面外科手术
- 整形手术 整形手术 整形手术
背景情况:
- 嘴唇裂和裂患者经常需要为大腹低成形和鼻子形而进行鼻腔整形手术.
- 鼻膜整形可以在整形手术后 (分阶段) 或与大骨切除术 (同时) 同时进行.
研究的目的:
- 评估进行大骨切除的裂口患者分阶段或同时进行鼻膜整形的必要性和并发症率.
- 为了比较不同裂类型的结果.
主要方法:
- 对99名非综合征裂唇/口腔患者 (BCLP,UCLP,CP) 的回顾性研究,这些患者接受了Le Fort I或双骨切除术.
- 来自赫尔辛基大学医院 (2002-2016) 的医疗病历分析,以确定鼻整形的需要和并发症.
主要成果:
- 45%的患者需要进行鼻美术,双边唇裂 (BCLP) 和单边唇裂 (UCLP) 患者的发病率显著更高 (60%和53%,分别).
- 鼻整形在20%的病例中同时进行,在25%的病例中分阶段进行.
- 整体并发症率为14%,同时和分阶段手术之间没有显著差异.
结论:
- 在大骨切除术后,鼻腔整形经常需要在裂患者中进行,特别是那些患有BCLP和UCLP的患者.
- 阶段性和同时性鼻整形方法都是可行的,提供可比的并发症概况.
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