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唇腭裂二期畸形矫正手术效果的人体测量学验证

The anthropometric verification of corrective surgery outcome in cleft secondary deformities.

作者信息

Dusková Marketa, Kristen Michal, Smahel Zbynek

机构信息

Department of Plastic Suegery, University Hospital Kralouske, Charles University, Prague, Czech Republic.

出版信息

J Craniofac Surg. 2006 May;17(3):447-53. doi: 10.1097/00001665-200605000-00011.

DOI:10.1097/00001665-200605000-00011
PMID:16770180
Abstract

An anthropometric measurement serves as both an objective assessment and a description of shape and size. Gypsum casts were used for the measurement, along with a statistical evaluation of results, to compare the appearance of patients with a complete unilateral or bilateral cleft lip and palate prior to corrective surgery of their secondary deformity and following this intervention. The evaluated approach was our own modification of rhinoplasty and lip correction, using the remodeling and extension of soft tissues envelope by a skin flap. That is formed from a lip scar after primary reconstruction. Both data of the studied group (n = 49), pre- and postoperative, were compared to a control group of healthy individuals (k = 19), thereby allowing the original severity of the deformity and the morphologic change after surgery to be objectively assessed. Upon correlation to healthy volunteers, we proved that the effect of surgery shifted the monitored parameters into a range found in the normal population. An anthropometric measurement on gypsum casts appeared to be simple, easy to perform, precise, easy to repeat, inexpensive, and yet of a three-dimensional nature with no burden for the patient. It is suitable for verifying the effects of new therapeutic procedures.

摘要

人体测量既作为一种客观评估,也用于描述形状和大小。使用石膏模型进行测量,并对结果进行统计评估,以比较单侧或双侧完全性唇腭裂患者在二期畸形矫正手术前和手术后的外观。所评估的方法是我们对鼻整形术和唇部矫正的改良,通过皮瓣对软组织包膜进行重塑和延伸。该皮瓣由初次重建后的唇部瘢痕形成。将研究组(n = 49)术前和术后的数据与健康个体对照组(k = 19)进行比较,从而能够客观评估畸形的原始严重程度和手术后的形态变化。与健康志愿者进行相关性分析后,我们证明手术效果将监测参数转移到了正常人群的范围内。对石膏模型进行人体测量似乎简单易行、精确、易于重复、成本低廉,而且具有三维特性,对患者没有负担。它适用于验证新治疗方法的效果。

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