State Key Laboratory of Oral Diseases ＆ National Clinical Research Center for Oral Diseases ＆ Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Dept. of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100000, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Oct 1;39(5):560-565. doi: 10.7518/hxkq.2021.05.010.
This study aimed to compare the postoperative outcome of the new and classical muscular reconstruction technique combined with nasal internal-fixation method for secondary deformity post unilateral cleft lip repair. A rationale is provided for the further surgical improvement of secondary deformities.
Sixty patients aged 4-18 years with secondary unilateral cleft lip-nose deformity were involved in this research. The deformities of 28 patients were repaired using the muscular force balance technique through nasal internal fixation method, and 32 were repaired using classical muscular reconstruction technique. Two-dimensional analysis was used to evaluate the nose-lip morphology of pre- and post-operative patients through standardized photographs seven days after surgery.
Compared with preoperative nasal morphology in the muscular force balance technique group, the 7-days postoperative results of this group showed the significantly improved short-term outcomes in the correction of columellar deflection, alar rim angle, nasal shape, and the symmetry of alar base width, nostril width, nostril height, alar rim angle (<0.05).
The new muscular reconstruction technique with nasal internal-fixation method has a significant effect on nasal repair.
本研究旨在比较新型和经典肌肉重建技术联合鼻内固定法治疗单侧唇裂修复后继发畸形的术后效果。为继发畸形的进一步手术改进提供依据。
本研究纳入了 60 名年龄在 4-18 岁的单侧唇裂鼻畸形继发患者。28 例患者采用经鼻内固定的肌肉力学平衡技术修复，32 例患者采用经典肌肉重建技术修复。通过术前和术后 7 天的标准化照片，采用二维分析评估患者鼻唇形态。
与肌肉力学平衡技术组术前鼻形态相比，该组术后 7 天的结果显示，在矫正鼻中隔偏曲、鼻翼缘角、鼻形以及鼻翼基底宽度、鼻孔宽度、鼻孔高度、鼻翼缘角的对称性方面，短期结果明显改善（<0.05）。
新型肌肉重建技术联合鼻内固定法对鼻修复有显著效果。
