关键词: cleft lip and palate dynacleft infant orthopedics lip tape‌ nasoalveolar molding nonsyndromic clefting

来  源:   DOI:10.1177/10556656241249822

Abstract:
OBJECTIVE: To conduct a systematic review of the data in peer-reviewed medical literature and evaluate the effectiveness of lip taping as a pre-surgical naso-alveolar molding (NAM) technique in infants with cleft lip and/or palate.
METHODS: An electronic search of various databases for relevant studies, regardless of date, from inception to June 2023 was carried out and evaluated. After completing the electronic search and applying our inclusion/exclusion criteria, 6 studies-2 randomized control trials, 2 non-randomized studies, and 2 case series-were included. Data extraction of relevant articles was done independently by 2 authors. Quality assessment was done using the JBI prevalence critical appraisal tool and certainty of evidence was carried out by GRADE approach.
METHODS: Nasolabial Aesthetics, Dentoalveolar Relationship.
RESULTS: A total of six studies were included in the current review. Meta-analysis was carried out, and forest plots were obtained for a single mean from the lip-taping group. 3 studies had a low risk of bias, while 3 studies displayed a serious risk of bias. Significant improvement in various outcome measures was noted with lip taping when compared with the control group although the certainty of evidence was very low.
CONCLUSIONS: When compared to no therapy, lip taping appears to ameliorate dentoalveolar measurements and nasolabial aesthetics. To increase our knowledge of lip taping, more research will be needed in the future, as there are not many studies to prove lip taping is better than other treatment approaches.
摘要:
目的:对同行评审的医学文献中的数据进行系统回顾,并评估唇贴作为鼻-肺泡成型(NAM)术前技术在唇裂和/或腭裂婴儿中的有效性。
方法:对各种相关研究的数据库进行电子搜索,不管日期,从成立到2023年6月进行了评估。在完成电子搜索并应用我们的纳入/排除标准后,6项研究-2项随机对照试验,2项非随机研究,包括2个病例系列。相关文章的数据提取由2位作者独立完成。使用JBI患病率关键评估工具进行质量评估,并通过GRADE方法进行证据的确定性。
方法:鼻唇美学,牙槽骨的关系。
结果:本综述共纳入6项研究。进行了Meta分析,和森林地块是从唇带组获得的单一平均值。3项研究的偏倚风险较低,而3项研究显示存在严重的偏倚风险。与对照组相比,尽管证据的确定性很低,但唇膏在各种结果指标上显着改善。
结论:与无治疗相比,唇贴似乎改善牙槽的测量和鼻唇的美学。为了增加我们对唇膏的了解,未来需要更多的研究,因为没有多少研究证明唇贴比其他治疗方法更好。
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