He Xing, Li Hua, Shao Yan, Shi Bing
Cleft Palate Craniofac J. 2015 Jan;52(1):66-9. doi: 10.1597/13-099.
The purpose of this study is to ascertain objective nasal measurements from the basal view that are predictive of nasal esthetics in individuals with secondary cleft nasal deformity.
Thirty-three patients who had undergone unilateral cleft lip repair were retrospectively reviewed in this study. The degree of nasal deformity was subjectively ranked by seven surgeons using standardized basal-view measurements. Nine physical objective parameters including angles and ratios were measured. Correlations and regressions between these objective and subjective measurements were then analyzed.
There was high concordance in subjective measurements by different surgeons (Kendall's harmonious coefficient = W = .825, P = .006). The strongest predictive factors for nasal aesthetics were the ratio of length of nasal alar (r = .370, P = .034) and the degree of deviation of the columnar axis (r = .451, P = .008). The columellar angle had a more powerful effect in rating nasal esthetics.
There was reliable concordance in subjective ranking of nasal esthetics by surgeons. Measurement of the columnar angle may serve as an independent, objective predictor of esthetics of the nose.
本研究旨在确定从鼻底视图进行的客观鼻腔测量，这些测量可预测继发腭裂鼻畸形个体的鼻美学效果。
本研究对33例接受单侧唇裂修复术的患者进行了回顾性分析。7位外科医生使用标准化的鼻底视图测量对鼻畸形程度进行主观评分。测量了包括角度和比例在内的9个物理客观参数。然后分析这些客观测量与主观测量之间的相关性和回归关系。
不同外科医生的主观测量结果具有高度一致性（肯德尔和谐系数=W=.825，P=.006）。鼻美学的最强预测因素是鼻翼长度比例（r=.370，P=.034）和柱状轴偏斜度（r=.451，P=.008）。鼻小柱角度对鼻美学评分的影响更大。
外科医生对鼻美学的主观评分具有可靠的一致性。鼻小柱角度的测量可作为鼻子美学的独立客观预测指标。
