Yang Yu-sheng, Wang Guo-min, Wu Yi-lai, Chen Yang, Zhang Yong, Liang Yun
Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine & Shanghai Research Institute of Stomatology & Shanghai Key Laboratory of Stomatology, Shanghai 200011, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2010 Oct;45(10):581-3.
To present a classification of the deviated nose with unilateral cleft lip and the associated surgical correction.
A total of 176 cases of nasal deformities with unilateral cleft lip treated in Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine & Shanghai Research Institute of Stomatology & Shanghai Key Laboratory of Stomatology from 2007 to 2009 were analyzed. Depending on the relationship between the external pyramid and the facial midline, the nasal deviations with cleft lip were classified into 3 types: I, deviated bony pyramid, II, deviated cartilaginous pyramid; III, deviated lobular. The surgical treatment included surgical correction of deviated bony pyramid, deviated cartilaginous pyramid, deviated lobular and deviated septa.
Among the 176 patients, there were 97 males and 79 females, aging from 16 to 42 years with a mean of 20. There were 93 patients without deviated and 83 patients with deviated. Among the 83 deviated patients, deviated bony pyramid was found in 8 (10%), deviated cartilaginous pyramid in 29 (35%), deviated lobular in 46 (55%). Most patients who underwent surgical correction were satisfied.
There were nearly half of the unilateral cleft lip nasal deformity presenting with deviated noses. There was least deviated bony pyramid and most deviated lobular in the unilateral cleft lip deviated nose. The proposed classification for the deviated nose with unilateral cleft lip could serve as a practical guide for surgical planning.
提出单侧唇裂鼻畸形的分类方法及相关手术矫正方法。
分析2007年至2009年上海交通大学医学院附属第九人民医院口腔颌面外科、上海市口腔医学研究所、上海市口腔医学重点实验室收治的176例单侧唇裂鼻畸形患者。根据外鼻锥体与面部中线的关系，将唇裂鼻畸形分为3型：Ⅰ型，骨性锥体偏斜；Ⅱ型，软骨性锥体偏斜；Ⅲ型，鼻翼小叶偏斜。手术治疗包括骨性锥体偏斜、软骨性锥体偏斜、鼻翼小叶偏斜及鼻中隔偏斜的手术矫正。
176例患者中，男性97例，女性79例，年龄16～42岁，平均20岁。无鼻畸形者93例，有鼻畸形者83例。83例鼻畸形患者中，骨性锥体偏斜8例（10%），软骨性锥体偏斜29例（35%），鼻翼小叶偏斜46例（55%）。大多数接受手术矫正的患者对效果满意。
单侧唇裂鼻畸形患者中近半数存在鼻偏斜。单侧唇裂鼻畸形中骨性锥体偏斜最少，鼻翼小叶偏斜最多。所提出的单侧唇裂鼻畸形分类方法可为手术方案制定提供实用指导。
