在初级裂口鼻整形术中应用术后鼻膜:提供实用技巧和技巧的综述
Valérie L J Gille1, Anouk J M Cornelissen2, Ina Foulon1
1Department of Otorhinolaryngology and Head & Neck Surgery, University Hospital Brussels, Free University Brussels (VUB), Brussels Health Campus, Brussels, Belgium.
The Journal of craniofacial surgery
|March 5, 2025
概括
手术后的鼻腔支架有助于在裂唇和鼻子手术后保持鼻子形状和呼吸. 然而,实际使用的细节,如保留和并发症,需要进一步研究以获得最佳的患者结果.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
背景情况:
- 主要裂唇修复通常与鼻整形相结合.
- 手术后鼻缩和复发是严重的并发症.
- 鼻腔支架用于维持鼻腔形态和手术后的呼吸.
研究的目的:
- 审查和总结关于在初级裂鼻腔整形中使用术后鼻孔保持器的实用信息.
- 为了识别常见的支架类型,持续时间,固定方法和并发症.
- 根据现有文献,为医疗保健提供者提供指导.
主要方法:
- 进行了对19篇文章的系统审查.
- 提取了关于支架类型,持续时间,随访,固定和并发症的数据.
- 研究设计和结果的异质性被注意到.
主要成果:
- 预制支架是最常被研究的,平均使用6个月.
- 在大约三分之一的文章中描述了定制支架.
- 支架保留是主要的挑战,骨损失和皮肤刺激是常见的并发症.
结论:
- 手术后的鼻腔支架在裂切尔诺鼻整形术后保持鼻腔形态方面具有价值.
- 有相当大的异质性和缺乏关于最佳支架使用的共识.
- 需要进行进一步的前性研究,以确定支架疗效和最佳实践的高水平证据.
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