State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb, Yemen.
Facial Plast Surg Aesthet Med. 2022 Sep-Oct;24(5):357-362. doi: 10.1089/fpsam.2021.0166. Epub 2021 Sep 13.
Leveling Cupid's bow while maintaining lip height and width in unilateral complete cleft lip patients with improved nose outcomes is a significant challenge for surgeons. This study aimed to measure the symmetry of the nasal and labial anthropometric points after using this modified cleft lip repair technique. In this retrospective study, 72 consecutive nonsyndromic unilateral complete cleft lip patients underwent a modified rotational advancement technique. Photos of at least 1 year follow-up period were collected. The nose measurements included columella length, nostril height and width, ala width, nostril inclination, columella angle, and ala bases angle. The lip measurements included lip height and width, vermillion height; midline-philtrum angle, and angles of Cupid's bow peaks. Descriptive quantitative analysis of the lip and nose measurements, intraclass correlation coefficient, and ANOVA tests were conducted. Well-aligned Cupid's bows with symmetrical lip height and width were obtained with satisfactory aesthetic nasal outcomes. The present technique had leveled the Cupid's bow while preserving the lip height and width, with resultant satisfactory nasal outcomes.
在单侧完全性唇裂患者中，既要提高鼻部效果，又要保持唇高和唇宽的丘比特弓平整，这对外科医生来说是一个巨大的挑战。本研究旨在通过使用改良的唇裂修复技术来测量鼻和唇的人体测量点的对称性。在这项回顾性研究中，72 例连续的非综合征性单侧完全性唇裂患者接受了改良的旋转推进技术。收集了至少 1 年随访期的照片。鼻部测量包括鼻中隔长度、鼻孔高度和宽度、鼻翼宽度、鼻孔倾斜度、鼻中隔角和鼻翼基底角。唇部测量包括唇高和唇宽、红唇高度、人中-唇珠角以及丘比特弓峰的角度。对唇部和鼻部测量进行描述性定量分析、组内相关系数和方差分析。本研究技术能够获得对齐良好的丘比特弓，且唇高和唇宽对称，同时鼻部效果也具有良好的美学效果。本技术在保持唇高和唇宽的同时，使丘比特弓平整，从而获得了满意的鼻部效果。
