The Effectiveness of Preoperative Correction Techniques in Improving Nasal Deformity in Children With Unilateral Complete Cleft Lip and Palate

作者全名："Tang, Shengyu; Zhong, Yuxiang; Liao, Lishu; Liang, Li; Xiang, Li; Li, Liqi; Li, Yijun; Li, Wanshan"

作者地址："[Tang, Shengyu; Zhong, Yuxiang; Liao, Lishu; Liang, Li; Xiang, Li; Li, Liqi; Li, Yijun; Li, Wanshan] Chongqing Med Univ, Childrens Hosp, Oral Dept, 136 Zhongshan Er Rd, Chongqing, Peoples R China"

通信作者："Li, WS (corresponding author), Chongqing Med Univ, Childrens Hosp, Oral Dept, 136 Zhongshan Er Rd, Chongqing, Peoples R China."

来源：JOURNAL OF CRANIOFACIAL SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000662269900092

JCR分区：Q3

影响因子：0.9

年份：2021

卷号：32

期号：2

开始页：664

结束页：669

文献类型：Article

关键词：Meta-analysis and systematic review; nasal deformity; preoperative correction; preoperative correction techniques; unilateral complete cleft lip and palate

摘要："Objective: Unilateral complete cleft lip and palate (UCCLP) is associated with apparent nasal deformities before the cheilorrhaphy. The aim of this study was to determine whether preoperative correction techniques are effective in the treatment of nasal deformities in infant with unilateral UCCLP used by the systematic review and meta-analysis. Methods: We searched Medline, Cochrane Library, EMBASE, PubMed, and Chinese BioMedical Literature Database (CBM) until January 31, 2019, to identify studies that compared the effectiveness of preoperative correction techniques in the treatment of nasal deformities in infant with UCCLP. Two authors individually extracted the data and performed the quality assessments. The height of nasal columella, the width of the affected side nasal ala and the inclination of the nasal columella were evaluated. Results: Seven articles were incorporated into the systematic review, and 5 (274 participants) in the meta-analysis according to the inclusion criteria. The preoperative correction could increase the height of nasal columella in children with UCCLP [SMD: 2.64 mm; 95% confidence intervals (CI); (1.35 mm, 3.94 mm); P < 0.0001]. Moreover, the preoperative correction resulted in reduced width of the affected side nasal ala [SMD: -5.14 mm; 95% CI; (-8.96 mm, -1.31 mm); P = 0.008]; However, the evidence was insufficient to determine a significant effect on the inclination of the nasal columella [SMD: -3.48 degrees; 95% CI; (-7.56 degrees, 0.59 degrees); P = 0.09]. Conclusions: Preoperative correction for children with UCCLP can increase the height of nasal columella, reduce the width of the affected side nasal ala, improve the nasal symmetry, and reduce nasal deformity, however, no significant effect could be observed for the inclination of the nasal columella."

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