A Systematic Review: Early Simultaneous Vomer Flap with Primary Cleft Lip Repair, Does it Bring More Benefits?

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-12-01 Epub Date: 2023-07-31 DOI:10.1177/10556656231192295

Indri Lakhsmi Putri, Evan Savero Widiono, Stephanie Liana, Sandro Ruberto, Citrawati Dyah Kencono Wungu

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引用次数: 0

Abstract

Introduction: Vomer flap is a technique to close cleft lip and palate. This technique is a simple procedure that has many benefits. However, the vomer flap's application together with primary lip closure is still questionable.

Objective: To find out whether the vomer flap's application in primary cleft lip repair can provide significant benefits.

Design: A systematic review was conducted using the PRISMA methodology has been licensed in PROSPERO databases (CRD42023399487).

Setting: A comprehensive search was set out, utilizing eight data sources up to March 2023.

Participants: Both cohort studies and randomized control trials regarding the use of vomer flaps performed concurrently with cleft lip repair in children up to six months old.

Results: This article involved 8 studies involving 542 patients who met the inclusion criteria, consisting of 6 retrospective cohort studies, 1 RCT study, and 1 prospective cohort study. Vomer flaps provide a reduction in palatal cleft distance of 3-5 mm, a relatively small number of fistulas (0-4%), improvement of velopharyngeal function (nasal tone and nasal emission), maximal development of the maxilla although it is still controversial.

Conclusion: The vomer flap's application in primary cleft lip repair provides many advantages, such as reduced palatal and alveolar clefts, decreased risk of oronasal fistula, increased velopharyngeal function, and increased maxillary growth. It is reliable for the management of cleft lip and palate.

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系统性综述：早期同时进行蚓状瓣与原发性唇裂修复术，会带来更多益处吗？

简介Vomer 瓣是一种用于闭合唇腭裂的技术。这种技术操作简单，但有很多优点。然而，孚尔皮瓣是否能与唇裂初次闭合术一起应用仍存在疑问：目的：了解在唇裂初次修复中应用孚尔皮瓣是否能带来显著的益处：设计：采用 PRISMA 方法进行系统性综述，该方法已在 PROSPERO 数据库（CRD42023399487）中获得许可：利用截至 2023 年 3 月的 8 个数据源进行了全面检索：关于在六个月以下儿童唇裂修复术中同时使用瓣膜的队列研究和随机对照试验：本文涉及8项研究，共有542名患者符合纳入标准，其中包括6项回顾性队列研究、1项随机对照试验研究和1项前瞻性队列研究。阜美皮瓣可使腭裂距离缩短3-5毫米，瘘管数量相对较少（0-4%），改善咽喉部功能（鼻音和鼻腔排气），上颌骨最大程度发育，但仍存在争议：结论：将绒毛膜瓣应用于唇裂修复具有很多优势，如减少腭裂和齿槽裂、降低口鼻瘘风险、增强咽喉功能和促进上颌骨发育。它是治疗唇腭裂的可靠方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.