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

doi:10.7518/hxkq.2023.2023204

West China Journal of Stomatology ›› 2023, Vol. 41 ›› Issue (6): 708-712.doi: 10.7518/hxkq.2023.2023204

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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

Abstract

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

CLC Number:

R 782.2⁺1

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.

Figures/Tables 4

References 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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[2]	Li Jingtao, Shi Bing.. Surgical design and application of alar cartilage positioning and repositioning in correcting cleft lip nose deformity [J]. West China Journal of Stomatology, 2022, 40(2): 134-138.
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[7]	ZHANG Rui1，2, ZHENG Qian1, SHI Bing1, LI Sheng1, WANG Yan1. Evaluation of the symmetry rate of nasal floor width and the influencing factor after primary repair [J]. West China Journal of Stomatology, 2011, 29(01): 31-35.
[8]	LI Wanshan*,ZHENG Qian,WEIShicheng,et al. Simultaneous Repair of Cleft Lip and Closure of Cleft Hard Palate with Vomer Flaps in Patients with Unilateral Complete Cleft Lip and Palate [J]. West China Journal of Stomatology, 2003, 21(01): 34-35.

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

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