名称之中有何含义？——已发表单侧唇裂修复技术的范围综述

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中文摘要

目的： 量化已发表、且描述详细到足以被复现的唇裂修复技术的数量。设计：符合PRISMA的范围综述。场所：不适用。患者/参与者：66篇已发表文章。干预：原发性单侧唇裂修复。主要结局指标：关于14个预设步骤的数据：术前矫治装置的使用、皮肤设计与标记、局部麻醉技术、皮肤切开、肌肉解剖、黏膜处理、系带成形术/系带处理、肌肉重新对合、鼻底关闭、红唇关闭、皮肤关闭、鼻翼处理、鼻成形术以及术后支撑。结果：共识别出4种被视为“原创”的技术：Rose、Mirault、Hagedorn和Millard。Millard技术被改良最多（n=24，36.4%）。总体而言，27篇（40.9%）文章将其技术设计报告为“直线型”，31篇（47.0%）为“旋转推进型”，8篇（12.1%）为“解剖亚单位型”。皮肤标记设计是描述最详细的步骤，有53篇（80.3%）文章；肌肉解剖和重新对合均有47篇（71.2%）描述。报告最少的步骤是系带处理，仅1篇（1.5%）描述。没有文章报告全部14个术中步骤，仅2篇（3.0%）报告了14个步骤中的13个。结论：尽管唇裂手术已有大量改良，但对修复步骤的深入描述仍然匮乏。对受训者而言，这可能成为理解唇裂修复的障碍。随着全球对唇裂手术教育需求的增长，术语的一致性和技术步骤描述的准确性至关重要。

英文摘要

ObjectiveTo quantify the number of published cleft lip repair techniques that are described in substantial detail to be reproduced.DesignPRISMA-compliant scoping review.SettingN/A.Patients, Participants66 published articles.InterventionsPrimary unilateral cleft lip repair.Main Outcome MeasuresData on 14 predefined steps: use of pre-surgical devices, skin design and marking, local anesthesia technique, skin dissection, muscle dissection, mucosal management, frenuloplasty/frenulum management, muscular reapproximation, nasal floor closure, vermillion closure, skin closure, alar management, rhinoplasty, and post-operative stenting.ResultsFour techniques were identified as being "original": Rose, Mirault, Hagedorn, and Millard. Millard's technique was modified the most (n = 24, 36.4%). In total, 27 (40.9%) articles reported their technique design as "straight line," 31 (47.0%) "rotation advancement," and 8 (12.1%) "anatomic subunit." Skin marking design was the most detailed step with 53 (80.3%) articles; muscular dissection and re-approximation were both described in 47 (71.2%). The least reported step was frenulum management with only 1 (1.5%) described. No articles reported all 14 intra-operative steps, and only 2 (3.0%) reported 13/14 steps.ConclusionsDespite substantial modifications in cleft lip surgery, there is a paucity of in-depth descriptions of the steps of repair. For trainees, this can be a barrier to gaining understanding of lip repair. As the appetite for cleft surgery education grows globally, consistency in terminology and accuracy in describing technical steps is crucial.