Otorhinolaryngology Research Center, Otorhinolaryngology Head and Neck Surgery Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Otorhinolaryngology Research Center, Otorhinolaryngology Head and Neck Surgery Department, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Int J Pediatr Otorhinolaryngol. 2021 Jun;145:110717. doi: 10.1016/j.ijporl.2021.110717. Epub 2021 Apr 20.
The aim of this study was to assess aesthetic result and parents' satisfaction of primary rhinoplasty in unilateral incomplete cleft lip patients.
Thirty-two consecutive unilateral incomplete cleft lip nose patients were operated in the tertiary hospital from 2012 to 2014. Primary rhinoplasty was done following the principle of the modified McComb repair. Nostril height, dome height, alar base width, nostril height to width ratio, dome height to nostril width ratio, nasolabial angle and columella deviation were measured on preoperative and 4-year postoperative photographs. Visual analogue scale (VAS) was assessed for each parent before the surgery and 4-year postoperatively.
The preoperative and postoperative photographic analysis revealed significant improvement in nostril height ratio and dome height ratio. Nostril height to width ratio and dome height to nostril width ratio significantly increased. Alar base width significantly decreased. The nasolabial and columella deviation angles improved significantly. The mean parent-related satisfactory assessment based on the VAS showed statistically improved scores postoperatively.
We believe this technique with minimal dissection could improve symmetry and satisfaction, although every individual surgeon could choose his preferable technique based on the components of correction that he is capable of executing reliably while considering the long-term outcomes.
本研究旨在评估单侧不完全唇裂患者初次鼻整形术的美学效果和家长满意度。
2012 年至 2014 年，在一家三级医院对 32 例连续单侧不完全唇裂鼻患者进行了手术。初次鼻整形术遵循改良 McComb 修复术的原则进行。术前和术后 4 年的照片上测量了鼻孔高度、穹窿高度、鼻翼基底宽度、鼻孔高度与宽度比、穹窿高度与鼻孔宽度比、鼻唇角和鼻中隔偏曲。术前和术后 4 年，每位家长均通过视觉模拟量表（VAS）进行评估。
术前和术后照片分析显示，鼻孔高度比和穹窿高度比显著改善。鼻孔高度与宽度比和穹窿高度与鼻孔宽度比显著增加。鼻翼基底宽度显著减小。鼻唇角和鼻中隔偏曲角度明显改善。基于 VAS 的家长相关满意度评估的平均得分显示术后有统计学上的改善。
我们相信，这种微创技术可以改善对称性和满意度，尽管每位外科医生都可以根据他能够可靠执行的矫正成分选择他更喜欢的技术，同时考虑长期结果。
