鼻腔阻塞在唇裂患者的客观评估:一项初步研究
Nicolas Pachebat1,2, Jiad N Mcheik2,3,4, Maxime Fieux5
1Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, F-86000 Poitiers, France.
Journal of personalized medicine
|September 26, 2025
概括
鼻塌陷是最初手术后裂唇和/或患者持续性鼻阻塞的常见原因. 客观评估对于规划二次鼻美术至关重要,因为像NOSE尺度等主观工具不可靠.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
背景情况:
- 唇和/或裂 (CLP) 经常导致由于初级修复后的结构问题而导致持续的鼻阻塞.
- 主观的工具往往低估了功能障碍,尤其是鼻的塌.
研究的目的:
- 客观地评估CLP患者在初级鼻整形术后的鼻腔阻塞.
- 为了确定这个队列中鼻腔阻塞的解剖学原因.
主要方法:
- 对21名患有CLP的儿童 (8-16岁) 进行的观察性研究.
- 使用临床评估,鼻腔内镜,声学鼻计和活性前额鼻计 (AAR) 在脱血前后.
- 使用鼻腔阻塞症状评估 (NOSE) 尺度评估主观症状.
主要成果:
- 在80.9%的患者中发现了客观鼻腔阻塞;在66.7%的患者中发现了鼻塌陷.
- 外部鼻收缩 (57.1%) 比内部 (38.1%) 更常见.
- 鼻子分数与AAR发现没有相关性; septal偏差 (52.5%) 和轮缩 (23.8%) 也被注意到.
结论:
- 鼻塌陷是CLP患者持续性鼻阻塞的重要原因,但未得到充分承认.
- 客观评估 (AAR,内镜) 对于规划二次鼻整形至关重要.
- 个人化二次鼻子重建整合客观数据是建议的CLP患者.
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