State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Dec 1;42(6):748-754. doi: 10.7518/hxkq.2024.2024074.
This study aimed to compare the impacts of undertaking symmetrical bone repair of the nasal alar base combined with nasolabial deformity repair versus nasolabial deformity repair alone on the improvement in nasal deformity of patients with unilateral cleft lip and alveolar cleft.
Fifty patients presenting with unilateral cleft lip and alveolar cleft were evaluated. Among them, 20 underwent nasolabial deformity repair solely (non-bone grafting group), whereas 30 patients received bone repair in conjunction with nasolabial deformity repair (bone-repair group). Preoperative measurements and one-year follow-up results were assessed through photographic anthropometric analysis. According to the Farkas anthropometric standard, the nasal anatomic landmarks were located, and 10 nostril indicators were measured. The operative effects of two groups were compared.
In contrast to the non-bone-grafting group, the nasal deformity of patients in the bone-repair group demonstrated significant improvement one year post-operation. The symmetry parameters of the nasal columella more closely approximated 1, the columella deviation angle more closely approached 90°, and the sub-alare inclination angle and the inclination angle of the nasal alar were smaller (<0.05).
The accomplishment of symmetrical bone repair of the nasal alar base is conducive to enhancing nasal deformity after cleft-lip surgery in patients with unilateral cleft lip and alveolar cleft. This strategy has a positive influence on nasal symmetry, the morphology of the nasal alar, and nasal base deformity.
本研究旨在比较行鼻翼基底对称骨修复联合鼻唇畸形修复与单纯行鼻唇畸形修复对单侧唇裂牙槽突裂患者鼻畸形改善的影响。
评估了 50 例单侧唇裂牙槽突裂患者。其中 20 例仅行鼻唇畸形修复（非植骨组），30 例行骨修复联合鼻唇畸形修复（骨修复组）。通过摄影人体测量分析评估术前测量值和 1 年随访结果。根据 Farkas 人体测量标准定位鼻解剖标志，测量 10 个鼻孔指标。比较两组的手术效果。
与非植骨组相比，骨修复组患者的鼻畸形在术后 1 年显著改善。鼻中隔柱对称性参数更接近 1，鼻中隔偏斜角更接近 90°，鼻翼下斜角和鼻翼倾斜角更小（<0.05）。
完成鼻翼基底对称骨修复有利于增强单侧唇裂牙槽突裂患者唇裂手术后的鼻畸形。该策略对鼻对称性、鼻翼形态和鼻基底畸形有积极影响。
