[一期修复继发性鼻唇畸形及鼻中隔成形术对鼻气道阻力的影响]

[The effect of one-stage repair of secondary nasolabial deformity and nasal septoplasty on nasal airway resistance].

作者信息

Heng Weiwei, Liu Shusen, Lu Yong, Jiang Ping, Guo Lang

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Dec;27(23):1291-3.

PMID:24620656

Abstract

OBJECTIVE

To assess the effect of one-stage repair of secondary nasolabial deformity and nasal septoplasty for cleft patients on nasal airway resistance (NAR).

METHOD

Using active anterior rhinomanometry, NAR was measured in eighteen patients with cleft lip and palate who suffered form one-stage repair of secondary nasolabial deformity and septoplasty at per-and-post operation.

RESULT

NAR was (0.664 +/- 0.200) kPa/(s x L) before operation, (0.304 +/- 0.180) kPa/(s x L) six months after operation, and (0.396 +/- 0.250) kPa/(s x L) twelve months after operation respectively. The differences are statistically significant (P < 0.01) between the NAR before and after operation. Subjective impression score of nasal patency was 7.5 +/- 1.5 before-operation, 2.1 +/- 2.0 after-operation for six months, 3.0 +/- 2.4 after-operation for twelve months. There are significant differences in the subjective impression score of nasal patency as well (P < 0.01).

CONCLUSION

Correction of septal deformities play a very important role in the operation for secondary nasolabial deformity, which can decrease NAR and improve the subjective impression of nasal patency.

摘要

目的

评估唇腭裂患者一期修复继发鼻唇畸形及鼻中隔成形术对鼻气道阻力（NAR）的影响。

方法

采用主动前鼻测压法，对18例唇腭裂患者在一期修复继发鼻唇畸形及鼻中隔成形术的术前、术后测量鼻气道阻力。

结果

术前鼻气道阻力为（0.664±0.200）kPa/（s·L），术后6个月为（0.304±0.180）kPa/（s·L），术后12个月为（0.396±0.250）kPa/（s·L）。术前与术后鼻气道阻力差异有统计学意义（P<0.01）。术前鼻通气主观印象评分为7.5±1.5，术后6个月为2.1±2.0，术后12个月为3.0±2.4。鼻通气主观印象评分也有显著差异（P<0.01）。