单侧完全性唇裂鼻畸形早期整复的回顾性研究

doi:10.7518/hxkq.2023.2023204

华西口腔医学杂志 ›› 2023, Vol. 41 ›› Issue (6): 708-712.doi: 10.7518/hxkq.2023.2023204

单侧完全性唇裂鼻畸形早期整复的回顾性研究

毕思思¹^,²^,³(), 任战平¹^,²^,³(), 李锦峰¹^,²^,³, 陶永炜¹^,²^,³, 高明¹^,²^,³

^1.西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室，西安 710004
^2.西安交通大学口腔医院陕西省牙颌疾病临床研究中心，西安 710004
^3.西安交通大学口腔医院唇腭裂外科，西安 710004

收稿日期:2023-06-29 修回日期:2023-09-23 出版日期:2023-12-01 发布日期:2023-11-27
通讯作者: 任战平 E-mail:bsisi1213@163.com;zhanping@mail.xjtu.edu.cn
作者简介:毕思思，医师，硕士，E-mail：bsisi1213@163.com
基金资助:
陕西省重点研发计划(2018SF-118)

Retrospective study on primary rhinoplasty for unilateral complete cleft lip nasal deformity

Bi Sisi¹^,²^,³(), Ren Zhanping¹^,²^,³(), Li Jinfeng¹^,²^,³, Tao Yongwei¹^,²^,³, Gao Ming¹^,²^,³

^1.Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, China
^2.Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, China
^3.Dept. of Cleft Lip and Palate Surgery, College of Stomatology, Xi’an Jiaotong University, Xi’an 710004, China

Received:2023-06-29 Revised:2023-09-23 Online:2023-12-01 Published:2023-11-27
Contact: Ren Zhanping E-mail:bsisi1213@163.com;zhanping@mail.xjtu.edu.cn
Supported by:
Key R&D Program of Shaanxi Province(2018SF-118);Correspondence: Ren Zhanping, E-mail: zhanping@mail.xjtu.edu.cn

摘要/Abstract

摘要：

目的对单侧完全性唇裂患儿早期鼻畸形整复的手术效果进行回顾性研究，为唇裂鼻畸形整复提供一种治疗思路。方法选取于西安交通大学口腔医院就诊的24例单侧完全性唇裂患儿为研究对象，唇裂整复手术同期行鼻畸形整复，重建鼻基底，矫正鼻中隔，整复鼻翼部畸形。术后1周开始佩戴鼻模。评价术前、术后1周及术后1年鼻部形态。结果术后1周、术后1年患者的患/健侧鼻孔高度比、健/患侧鼻底宽度比、患/健侧鼻翼角度比、鼻小柱偏斜角度与术前相比，差异有统计学意义（P<0.05）；术后1年患者的患/健侧鼻孔高度比、鼻小柱偏斜角度与术后1周相比，差异有统计学意义（P<0.05）。结论单侧完全性唇裂早期鼻畸形整复可获较好的鼻部形态，尽管术后会有一些复发，但对称性仍优于术前，鼻部形态可以得到很好的矫正和维持。

关键词: 单侧完全性唇裂, 鼻畸形, 早期整复, 鼻中隔

Abstract:

Objective A retrospective study was conducted on the effect of primary rhinoplasty on infants with unilateral complete cleft lip nasal deformity. Methods Infants with unilateral complete cleft lip in the Department of Cleft Lip and Palate Surgery, College of Stomatology, Xi’an Jiaotong University were selected. All infants underwent cheiloplasty and primary rhinoplasty. We reconstructed the nasal base and corrected the nasal septum and alar deformity at the same time. The nasal splint was worn 1 week after the surgery. The nasal morphology before surgery as well as 1 week and 1 year after surgery were analyzed. Results Significant differences were found on symmetry ratios including nasal base width, nostril height, alar angle and columella deviation angle between before and after operation (P<0.05). There were statistically significant differences in the symmetry ratio of nostril height and columella deviation angle between 1 year after surgery and 1 week after surgery (P<0.05). Conclusion Infants with unilateral complete cleft lip nasal deformity can achieve satisfactory nasal morphology by primary rhinoplasty. Despite few cases of recurrence of nasal deformity, the nasal morphology can be well improved and maintained.

Key words: unilateral complete cleft lip, nasal deformity, primary rhinoplasty, septum

中图分类号:

R 782.2⁺1

毕思思, 任战平, 李锦峰, 陶永炜, 高明. 单侧完全性唇裂鼻畸形早期整复的回顾性研究[J]. 华西口腔医学杂志, 2023, 41(6): 708-712.

Bi Sisi, Ren Zhanping, Li Jinfeng, Tao Yongwei, Gao Ming. Retrospective study on primary rhinoplasty for unilateral complete cleft lip nasal deformity[J]. West China Journal of Stomatology, 2023, 41(6): 708-712.

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参考文献 18

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评价指标		阶段		P值
评价指标	T₀	T₁	T₂	T₁-T₀	T₂-T₀	T₂-T₁
患/健侧鼻孔高度比	0.64±0.25	0.97±0.11	0.88±0.11	<0.001	<0.001	0.018
健/患侧鼻底宽度比	0.25±0.07	0.75±0.12	0.69±0.15	<0.001	<0.001	0.116
患/健侧鼻翼角度比	0.77±0.10	1.09±0.12	1.06±0.12	<0.001	<0.001	0.183
鼻小柱偏斜角度/°	43.41±0.18	9.38±0.13	15.82±0.13	<0.001	<0.001	<0.001

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单侧完全性唇裂鼻畸形早期整复的回顾性研究

Retrospective study on primary rhinoplasty for unilateral complete cleft lip nasal deformity

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