Abstract：
Patients affected by cleft lip and palate have a characteristic nasal deformity; however, the treatment timeline varies amongst providers. There has been a shift from a more conservative approach to earlier intervention in order to allow for more normal development of the nose. Form, function, and future development all must be considered. For this reason, this investigation was undertaken to present the current literature available on the effects to all aspects of primary septoplasty in the cleft nasal deformity.
An initial list of 222 papers was identified, and it was determined that 16 papers fit the inclusion criteria. Studies were included in which the initial age of operation for the majority of patients was between 3 and 12 months and in which patients underwent septal repositioning at the time of cleft lip repair. These papers were all reviewed by a single author initially, and the results recorded. All results were then verified by a second author for accuracy and completeness.
Symmetry was found to be improved by primary septoplasty. Growth was not found to be impaired in any study; data was insufficient to indicate that growth was improved. Obstruction was improved as determined both by imaging, endoscopy, and patient survey. Finally, reoperation rates occurred at an acceptable rate not exceeding that of primary rhinoplasty without septoplasty.
Primary septoplasty leads to better aesthetic symmetry and function of the cleft nose without impairing growth. This change is maintained into adulthood often without the need for revisionary surgery.
An initial list of 222 papers was identified, and it was determined that 16 papers fit the inclusion criteria. Studies were included in which the initial age of operation for the majority of patients was between 3 and 12 months and in which patients underwent septal repositioning at the time of cleft lip repair. These papers were all reviewed by a single author initially, and the results recorded. All results were then verified by a second author for accuracy and completeness.
Symmetry was found to be improved by primary septoplasty. Growth was not found to be impaired in any study; data was insufficient to indicate that growth was improved. Obstruction was improved as determined both by imaging, endoscopy, and patient survey. Finally, reoperation rates occurred at an acceptable rate not exceeding that of primary rhinoplasty without septoplasty.
Primary septoplasty leads to better aesthetic symmetry and function of the cleft nose without impairing growth. This change is maintained into adulthood often without the need for revisionary surgery.
摘要：
受唇腭裂影响的患者有特征性的鼻畸形；然而，治疗时间表因提供者而异。为了允许鼻子更正常的发育，已经从更保守的方法转变为更早的干预方法。Form,函数,未来的发展都必须考虑。出于这个原因,进行这项研究是为了提供有关鼻裂畸形的原发性鼻中隔成形术对所有方面的影响的现有文献。
确定了222篇论文的初始列表，并确定16篇论文符合纳入标准。包括的研究中，大多数患者的初始手术年龄在3到12个月之间，并且在唇裂修复时患者进行了间隔重新定位。这些论文最初都是由一个作者审阅的，并记录了结果。然后由第二作者验证所有结果的准确性和完整性。
发现原发性鼻中隔成形术改善了对称性。在任何研究中都没有发现生长受到损害；数据不足以表明生长得到改善。根据影像学检查，阻塞得到了改善，内窥镜检查,和病人调查。最后,再手术率可接受,但不超过未进行鼻中隔成形术的初次隆鼻术.
初次鼻中隔成形术可在不损害生长的情况下使鼻裂具有更好的美学对称性和功能。这种变化通常会持续到成年，而无需进行修正性手术。
确定了222篇论文的初始列表，并确定16篇论文符合纳入标准。包括的研究中，大多数患者的初始手术年龄在3到12个月之间，并且在唇裂修复时患者进行了间隔重新定位。这些论文最初都是由一个作者审阅的，并记录了结果。然后由第二作者验证所有结果的准确性和完整性。
发现原发性鼻中隔成形术改善了对称性。在任何研究中都没有发现生长受到损害；数据不足以表明生长得到改善。根据影像学检查，阻塞得到了改善，内窥镜检查,和病人调查。最后,再手术率可接受,但不超过未进行鼻中隔成形术的初次隆鼻术.
初次鼻中隔成形术可在不损害生长的情况下使鼻裂具有更好的美学对称性和功能。这种变化通常会持续到成年，而无需进行修正性手术。
