单侧唇裂鼻及腭修复的手术性鼻牙槽塑形（SNAM）
"The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair".
文献信息
| PMID | 42803751 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Percy Rossell-Perry |
| 作者单位 | Smile Train Research and Innovation Advisory Council (STRIAC), Health of Science Faculty School of Human Medicine, Peruvian University Union (UpeU), Lima, Peru. |
| 期刊 | The Journal of craniofacial surgery |
| SCI 分区 | Q3 |
| IF | 1.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 唇裂和腭裂是一种高度流行的出生缺陷，在美观和功能上均影响上唇和腭部。历史上曾描述过不同的技术，近几十年来又增加了术前和术后治疗。本研究旨在评估基于手术性鼻牙槽塑形方法的手术治疗的影响。
方法： 对45例单侧唇裂和腭裂患者进行了一项比较性队列研究，这些患者接受了基于手术性鼻牙槽塑形原理的2种手术技术治疗，并由作者本人手术。所用技术为V-Y-Z前庭推进术（A组）和鼻前庭Z成形术（B组），所有研究患者均未进行任何类型的术前处理。根据通过人体测量确定的鼻对称程度以及术后并发症报告来评估术后结果。
结果： 在随访期间，我们观察到A组鼻孔对称率为33%，B组为37.5%，差异无统计学意义。A组9.5%和B组8.3%的患者需要主要鼻部修整，两组之间无统计学显著差异。A组相关术后并发症的数量更高。
结论： 基于作者提出的手术性鼻牙槽塑形原理的手术技术是治疗与单侧唇裂和腭裂相关的鼻畸形的替代方法。这些结果应通过更长的随访期和实验研究加以证实。
证据等级： IV级。
英文摘要
BACKGROUND: Cleft lip and palate is a highly prevalent birth defect affecting the upper lip and palate both aesthetically and functionally. Different techniques have been described throughout history, and during the last decades, pre- and postsurgical treatments have been added. The aim of this study is to evaluate the impact of the surgical treatment based on the surgical nasoalveolar molding method.
METHODS: A comparative cohort study has been done in 45 unilateral cleft lip and palate patients treated with 2 surgical techniques based on the surgical nasoalveolar molding principle and operated on by the author. The techniques used were V-Y-Z vestibular advance (group A), and the nasal vestibule Z plasty (group B), and no type of presurgical management was performed for any of the studied patients. Postoperative outcomes have been evaluated according to the nasal symmetry degree determined through anthropometric measurements, as well as the postoperative complications report.
RESULTS: During the follow-up, we observed 33% of nostril symmetry in group A and 37.5% in group B, which was not statistically significant. Major nasal revision was indicated in 9.5% (group A) and 8.3% (group B) without statistically significant differences between them. The number of associated postoperative complications was higher in group A.
CONCLUSIONS: Surgical techniques based on the surgical nasoalveolar molding principle proposed by the author are an alternative for the treatment of the nasal deformity associated with the unilateral cleft lip and palate. These results should be confirmed with a longer follow-up period and experimental studies.
LEVEL OF EVIDENCE: Level IV.