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使用坦尼森-兰德尔技术进行单侧唇裂修复术后鼻唇复合体美学效果的回顾性评估:一项针对单一腭裂中心治疗的44例病例的研究

A retrospective evaluation of the aesthetics of the nasolabial complex after unilateral cleft lip repair using the Tennison-Randall technique: a study of 44 cases treated in a single cleft center.

作者信息

Iliopoulos Christos, Mitsimponas Konstantinos, Lazaridou Dimitra, Neukam Friedrich Wilhelm, Stelzle Florian

机构信息

Department of Oral and Maxillofacial Surgery (Director: Prof. Dr. Dr. Dr. h.c. Friedrich Wilhelm Neukam), University Hospital of Erlangen, Friedrich Alexander University of Erlangen-Nürnberg, Oestliche Stadtmauerstrasse 27, 91054, Erlangen, Germany.

Department of Oral and Maxillofacial Surgery (Director: Prof. Dr. Dr. Dr. h.c. Friedrich Wilhelm Neukam), University Hospital of Erlangen, Friedrich Alexander University of Erlangen-Nürnberg, Oestliche Stadtmauerstrasse 27, 91054, Erlangen, Germany.

出版信息

J Craniomaxillofac Surg. 2014 Dec;42(8):1679-83. doi: 10.1016/j.jcms.2014.05.013. Epub 2014 May 24.

DOI:10.1016/j.jcms.2014.05.013
PMID:24962045
Abstract

INTRODUCTION

Among numerous techniques that have been described for lip repair, the Tennison-Randall method has gained popularity over time and is preferred by many surgeons due to the predictability of the outcome. This study aims to evaluate the esthetic outcome reached in the nasolabial region following primary lip repair with the use of this method.

MATERIALS AND METHODS

Forty-four patients with unilateral cleft lip (with or without alveolar cleft) were assessed retrospectively through a photographic evaluation by two clinicians with regard to the aesthetics of the lip and nose separately as anatomical subunits as well as of the nasolabial region as an anatomical complex. The collected data were statistically analyzed with regard to the cleft subtype and the performance of corrective surgeries for the lip and/or the nose.

RESULTS

The method was associated with good results, especially when it comes to the appearance of the nose as an anatomical subunit, as well as of the nasolabial region as a complex, regarding cleft lip patients without an alveolar cleft.

CONCLUSION

The Tennison-Randall technique proved to be a very satisfying method in terms of the esthetic long-term outcome in our patient collective.

摘要

引言

在已描述的众多唇部修复技术中,随着时间的推移,坦尼森 - 兰德尔法越来越受欢迎,由于其结果的可预测性,许多外科医生更喜欢使用该方法。本研究旨在评估使用该方法进行一期唇部修复后鼻唇区域的美学效果。

材料与方法

对44例单侧唇裂(伴或不伴牙槽裂)患者进行回顾性评估,由两名临床医生通过摄影分别评估唇部和鼻部作为解剖亚单位以及鼻唇区域作为解剖复合体的美学情况。收集的数据针对唇裂亚型以及唇部和/或鼻部矫正手术的实施情况进行统计学分析。

结果

该方法取得了良好的效果,特别是对于无牙槽裂的唇裂患者,在作为解剖亚单位的鼻子以及作为复合体的鼻唇区域外观方面。

结论

在我们的患者群体中,就美学长期效果而言,坦尼森 - 兰德尔技术被证明是一种非常令人满意的方法。

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