Grandoch Andrea, Franz I Moritz, Kruse I Teresa, Braumann I Bert, Dübbers I Martin, Grill Ii Florian
Department for Oral and Craniomaxillofacial and Plastic Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Germany.
Department of Orthodontics, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937, Cologne, Germany.
J Oral Biol Craniofac Res. 2023 Nov-Dec;13(6):682-687. doi: 10.1016/j.jobcr.2023.09.001. Epub 2023 Sep 9.
The presented study shows a new and innovative method to determine nasal asymmetries in a simple way in patients with cleft lip and palate (CLP) in order to plan corrective surgery.
86 non-syndromic patients with cleft lip and palate were divided into 2 groups: a) patients with unilateral cleft lip and palate b) patients with bilateral cleft lip and palate.
follow-up of hospital records of 86 patients aged 2-18 years.
Based on standardised photos of the nose from 3 different directions, the nose symmetry was assessed. A new digital measurement system was used, which is integrated into proven clinical programmes. These were compared with a control group. In addition, a mirror fog test and a standardised questionnaire were used.
The overall results showed a good symmetry of the nose postoperatively, as well as a high satisfaction of the patients and their parents. Profile and angle measurements showed a better result.
The presented measurement system and especially the Cleft Lip Component Symmetry Index (CLCSI) allows an individual and very effective assessment of the symmetry of the nose as well as a control of the growth in patients with CLP. The method is easy to apply in daily practice, even for untrained practitioners.
本研究展示了一种全新且创新的方法，可简便地测定唇腭裂（CLP）患者的鼻不对称情况，以便规划矫正手术。
86例非综合征性唇腭裂患者被分为两组：a）单侧唇腭裂患者；b）双侧唇腭裂患者。
对86例年龄在2至18岁患者的医院记录进行随访。
基于从3个不同方向拍摄的标准化鼻部照片评估鼻对称性。使用了一种集成到成熟临床程序中的新型数字测量系统，并与对照组进行比较。此外，还采用了镜面雾化试验和标准化问卷。
总体结果显示术后鼻部对称性良好，患者及其家长满意度较高。侧面轮廓和角度测量结果更佳。
所展示的测量系统，尤其是唇裂组件对称指数（CLCSI），能够对鼻对称性进行个体化且非常有效的评估，并可监测CLP患者的生长情况。该方法在日常实践中易于应用，即使对于未受过专业训练的从业者也是如此。
