唇腭裂患者鼻通气功能的研究进展

Research progress on nasal airway among patients with cleft lip and palate

先天性唇腭裂畸形影响患者颌面部包括呼吸在内的诸多重要生理功能。然而,现行的序列治疗关注重点集中在外观、语音及咬合功能的恢复,治疗内容往往缺乏对鼻通气功能的考量。事实上,唇腭裂患者的鼻通气道存在显著的结构异常,鼻通气功能情况是影响患者生存质量的重要因素。因此,本文在明确唇腭裂患者鼻通气相关结构异常的基础上,综述序列治疗各项内容对鼻通气功能的影响规律,介绍常用鼻通气功能的评估手段,并针对如何更好地将鼻通气功能考量纳入唇腭裂治疗方案设计提供建议和参考。

The congenital deformities of cleft lip and palate have significant effects on various physiological functions of the maxillofacial region including breathing.The team approach protocol mainly focuses on restoring appearance,speech,and occlusal function,instead of nasal breathing.In fact,there are significant structural anomalies in the nasal airway of patients with cleft lip and palate,which exert critical impacts on the patient’s quality of life.Therefore,on the basis of elucidating the anatomical anomalies associated with nasal breathing in patients with cleft lip and palate,this article reviews the influence of sequential treatment on nasal breathing,introduces commonly used assessment tools for nasal breathing,and provides references on how to better incorporate nasal breathing into the treatment planning for cleft lip and palate.