肌肉力矩平衡重建技术矫正唇裂术后继发鼻畸形的术后1年临床疗效观察

doi:10.7518/hxkq.2023.2023136

华西口腔医学杂志 ›› 2023, Vol. 41 ›› Issue (5): 563-567.doi: 10.7518/hxkq.2023.2023136

肌肉力矩平衡重建技术矫正唇裂术后继发鼻畸形的术后1年临床疗效观察

魏绵兴(), 张翀, 石冰, 李承浩()

口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科，成都 610041

收稿日期:2023-05-01 修回日期:2023-06-25 出版日期:2023-10-01 发布日期:2023-10-08
通讯作者: 李承浩 E-mail:weimianxing400@126.com;leechenghao@scu.edu.cn
作者简介:魏绵兴，硕士，E-mail：weimianxing400@126.com
基金资助:
四川大学华西口腔医院临床研究项目(LCYJ2019-10);四川省科技厅青年科学基金(2022NSFSC1519)

One-year clinical observation of muscular force balance reconstruction technique for the correction of secondary nasal malformation after cleft lip surgery

Wei Mianxing(), Zhang Chong, Shi Bing, Li Chenghao.()

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2023-05-01 Revised:2023-06-25 Online:2023-10-01 Published:2023-10-08
Contact: Li Chenghao. E-mail:weimianxing400@126.com;leechenghao@scu.edu.cn
Supported by:
Clinical Research Project of West China Hospital of Stomatology, Sichuan University(LCYJ2019-10);Youth Science Fund of Science and Technology Department of Sichuan Province(2022NSFSC1519)

摘要/Abstract

摘要：

目的评估肌肉力矩平衡重建技术联合鼻内固定术矫正单侧唇裂术后继发鼻唇畸形的远期效果，为进一步改善唇裂继发鼻唇畸形手术治疗效果提供依据。方法选取40例单侧唇裂继发鼻畸形接受肌肉力矩平衡重建技术联合鼻内固定术方法修复二期鼻畸形的患者为研究对象，患者年龄4~28岁。收集所有患者术前、术后即刻（术后7 d）、术后1年鼻部仰面二维照片，比较患者术前、术后即刻、术后1年鼻部对称性变化。结果力矩平衡肌肉重建技术术后即刻鼻小柱偏斜角、鼻孔高度比、鼻翼切线角、鼻翼切线角比、鼻孔长宽比大于术前，鼻底宽度比、鼻孔宽度比小于术前（P<0.01）。力矩平衡肌肉重建技术术后即刻与术后1年相比，鼻底宽度比、鼻孔高度比和鼻孔长宽比的差异无统计学意义（P>0.05）。结论肌肉力矩平衡重建技术联合鼻内固定术对单侧继发鼻唇畸形修复效果显著，可以获得较稳定的术后1年手术修复效果。

关键词: 单侧唇裂继发鼻唇畸形, 肌肉重建, 二期手术, 肌肉力矩平衡

Abstract:

Objective The long-term effect of muscular force balance reconstruction technique combined with intranasal fixation for correcting secondary nasolabial deformity after unilateral cleft lip was evaluated. The aim was to provide a basis for further improving the surgical treatment effect of secondary nasolabial deformity of acleft lip. Methods A total of 40 patients aged 4-28 years with secondary nasal deformity and unilateral cleft lip were selected as research subjects. The two-dimensional photo measurement analysis method was used in comparing the surgical results before and immediately after the operation (7 d) and 1 year after the operation. Results Columellar angle, nostril height ratio (NHR), alar rim angle, alar rim angle ratio, and nostril shape (NS) increased dimmediately after the operation, whereas alar base width ratio (ABWR) and nostril width ratio decreased (NHR) immediately after the operation (P<0.01). The ABWR, NHR, and NS immediately after the operation were not significantly different from those 1 year after the operation (P>0.05). Conclusion Muscular force balance reconstruction technique combined with intranasal fixation is effective in the repair of unilateral secondary nasolabial deformity, and stable results can be obtained 1 year after surgery.

Key words: unilateral cleft lip secondary nasolabial deformity, muscle reconstruction, secondary operation, muscular force balance

中图分类号:

R 782.2⁺1

魏绵兴, 张翀, 石冰, 李承浩. 肌肉力矩平衡重建技术矫正唇裂术后继发鼻畸形的术后1年临床疗效观察[J]. 华西口腔医学杂志, 2023, 41(5): 563-567.

Wei Mianxing, Zhang Chong, Shi Bing, Li Chenghao.. One-year clinical observation of muscular force balance reconstruction technique for the correction of secondary nasal malformation after cleft lip surgery[J]. West China Journal of Stomatology, 2023, 41(5): 563-567.

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参考文献 18

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测量项目	术前	术后即刻	术后1年	P值
测量项目	术前	术后即刻	术后1年	术前-术后即刻	术后即刻-术后1年	术前-术后1年
CA/°	82.26±3.18	86.78±1.87	86.04±1.82	<0.001	0.005	<0.001
ABWR	1.17±0.17	1.03±0.08	1.05±0.09	<0.001	0.081	<0.001
NWR	1.12±0.17	0.98±0.10	1.07±0.10	<0.001	<0.001	0.076
NHR	0.81±0.18	0.99±0.15	0.96±0.12	<0.001	0.079	<0.001
ARA（裂隙侧）/°	58.46±4.44	62.25±4.42	58.85±4.58	0.008	0.047	0.602
ARAR	0.94±0.05	0.99±0.05	0.94±0.06	0.001	0.012	0.969
NS（裂隙侧）	0.63±0.19	0.99±0.16	0.95±0.18	<0.001	0.068	<0.01

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肌肉力矩平衡重建技术矫正唇裂术后继发鼻畸形的术后1年临床疗效观察

One-year clinical observation of muscular force balance reconstruction technique for the correction of secondary nasal malformation after cleft lip surgery

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