Bae Yong Chan, Lee Chi Hyun, Seo Hyung Joon, Park Min Suk, Lee Seungbeom, Kim Ryuck Seong
Department of Plastic and Reconstructive Surgery, Pusan National University, School of Medicine.
Biomedical Research Institute, Pusan National University Hospital.
J Craniofac Surg. 2025 May 1;36(3):826-830. doi: 10.1097/SCS.0000000000010526. Epub 2024 Aug 14.
Intermediate rhinoplasty, the correction of cleft lip nose deformities, is performed between the time of primary and secondary rhinoplasties, which is at ~6 years of age. Although intermediate rhinoplasty reduces psychological stress in school-aged children through improvements in appearance, studies on intermediate rhinoplasty are scarce. Hence, in this study, we aimed to evaluate the long-term outcomes of intermediate rhinoplasty in patients with unilateral cleft lip. Twenty-three patients with unilateral cleft lip who underwent intermediate rhinoplasty without primary rhinoplasty from 1997 to 2004 were enrolled in this retrospective study. They were categorized into total, male, and female groups. Photogrammetric analysis of 9 proportional, 5 angular, and 6 nostril-related parameters was performed using photographs that were taken after skeletal maturity had been reached; these parameters were compared with those of normal controls. The cleft group had significantly lower dome-to-columellar ratio, nasal sill ratio, labial-columellar angle, nostril width ratio, nostril height (base) ratio, nostril one-fourth medial part ratio, and nostril area ratio measurement and significantly higher alar width/mouth width ratio, columella height/alar width ratio, nasal tip protrusion/alar base width ratio, nasal dorsum angle, and nostril dimension in the cleft side values than the control group. After intermediate rhinoplasty, significant nasal improvement was achieved, including sufficient nasal tip projection, nasal height, nasal protrusion, and a relatively symmetric nasal tip without tip deviation. Intermediate rhinoplasty may contribute to reducing the psychosocial stress of school-aged children with unilateral cleft lip.
二期鼻整形术，即唇裂鼻畸形矫正术，在一期和二期鼻整形术之间进行，时间约为6岁。尽管二期鼻整形术通过改善外观减轻了学龄儿童的心理压力，但关于二期鼻整形术的研究却很少。因此，在本研究中，我们旨在评估单侧唇裂患者二期鼻整形术的长期效果。本回顾性研究纳入了1997年至2004年期间接受二期鼻整形术且未进行一期鼻整形术的23例单侧唇裂患者。他们被分为总体组、男性组和女性组。使用骨骼成熟后拍摄的照片对9个比例参数、5个角度参数和6个鼻孔相关参数进行了摄影测量分析；并将这些参数与正常对照组的参数进行了比较。与对照组相比，唇裂组的穹窿与鼻小柱比例、鼻槛比例、唇鼻小柱角、鼻孔宽度比例、鼻孔高度（基部）比例、鼻孔四分之一内侧部分比例和鼻孔面积比例测量值显著降低，而患侧鼻翼宽度/口裂宽度比例、鼻小柱高度/鼻翼宽度比例、鼻尖突出度/鼻翼基部宽度比例、鼻背角和鼻孔尺寸显著升高。二期鼻整形术后，鼻部得到了显著改善，包括鼻尖充分突出、鼻高、鼻突出度以及鼻尖相对对称且无偏斜。二期鼻整形术可能有助于减轻单侧唇裂学龄儿童的心理社会压力。
