The Role of Nasal Sill Correction in Secondary Cleft Rhinoplasty

Current Treatment Progress of Unilateral Cleft Lip Nasal Deformities

INTRODUCTION

Secondary nasal deformity following unilateral cleft lip is a common facial congenital malformation. Due to its complex treatment, there is currently no unified treatment plan in clinical practice. Dysplasia of cartilage, dislocation of muscles, and dysplasia of maxilla are the main causes of secondary nasal deformities of unilateral cleft lip. This article provides a comprehensive summary of the perioperative period and treatment process of unilateral cleft lip nasal deformities, aiming to find better clinical treatment guidance for patients with unilateral cleft lip and nasal deformity.

METHODS

A review of numerous previous studies on unilateral cleft lip nasal deformity, particularly within the last five years, was conducted to gather information on treatment strategies and perioperative care for unilateral cleft lip rhinoplasty.

CONCLUSION

Currently, there is still no unified final surgical method for the correction and treatment of unilateral cleft lip nasal deformity. In terms of surgical timing, simultaneous primary rhinoplasty and lip repair are gradually being recognized internationally, while intermediate rhinoplasty can be considered when it affects the patients social and psychological life. Patients with severe initial nasal deformity require multiple revisions. Secondary rhinoplasty remains the ideal treatment for final correction of secondary nasal deformities in unilateral cleft lip.

LEVEL OF EVIDENCE V

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Secondary Cleft Rhinoplasty

Secondary cleft rhinoplasty remains a challenging operation that requires an understanding of the aberrant anatomy in cleft lip nasal deformity as well as the ability to adapt various techniques suited to the needs of each patient. In this article, we review some of the classically described approaches in cleft rhinoplasty and different strategies to address the nasal subunits. Presurgical adjuncts, surgical interventions before facial skeletal maturity, and patient reported outcome measures are also discussed.

Social Security Satisfaction and People's Subjective Wellbeing in China: The Serial Mediation Effect of Social Fairness and Social Trust

Objective

To test the relationship between social security satisfaction, social fairness, social trust, and people’s subjective wellbeing (SWB) in China and the serial mediation effect in this study.

Methods

We utilized the data (N = 7,978) from Chinese Social Survey (CSS) in 2017 and 2019, involving 31 provinces across the country. There were 5,398 samples in 2017CSS and 2,580 samples in 2019CSS selected by the research objectives. There were 4,269 women and 3,709 men with the average age of participants being 43 (SD = 14.41).

Results

The results showed that the actual status of social security satisfaction, social fairness and trust, and SWB were greater than the theoretical status overall. Social security satisfaction [β = 0.454, p < 0.001, 95% CI = (0.377, 0.423)], social fairness [β = 0.065, p < 0.001, 95% CI = (−0.039, 0.124)], and social trust [β = 0.108, p < 0.001, 95% CI = (0.237, 0.397)] positively influenced people’s SWB, respectively. Social fairness had a positive effect on social trust (β = 0.298, p < 0.001). Social fairness and social trust partly mediated the relationship between social security satisfaction and SWB, respectively. Social security satisfaction indirectly influenced SWB through the serial effect of social fairness and social trust. The total effect of SWB explained is 47% in the serial mediation model.

Conclusion

Satisfactory social security is likely to cause a high level of people’s SWB, social fairness, and social trust. It is beneficial to form a virtuous circle in society. Allowing people to obtain satisfactory social security is conducive to social equity, promoting social trust, and improving people’s SWB.