Wang Zimo, Zhen Yonghuan, Pan Xingyi, Jin Mengying, Wang Guanhuier, Xie Lifeng, An Yang
Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Department of Otorhinolaryngology Head and Neck Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Aesthetic Plast Surg. 2025 May 19. doi: 10.1007/s00266-025-04920-x.
East Asian patients with unilateral cleft lip and nasal deformity (UCLND) have severe septal deviated. An innovated septal reconstruction method using both perpendicular plate of ethmoid (PPE) and cartilage septum may improve ventilation and achieve similar aesthetic improvements as septal reconstruction using costal cartilage.
Patients with UCLND who underwent septal reconstruction using PPE or costal cartilage in the same period were retrospectively included in a 1:1 ratio. Comparison of preoperative and postoperative differences in NOSE and ROE scales and changes in scores between the two groups were made. Changes in nasal airway morphology and ventilatory function were analyzed using computational fluid dynamics in a case using PPE.
A total of 24 patients were included for analysis. Patients undergoing septal reconstruction using PPE showed significant improvement in NOSE scores and ROE scores. The improvement in ROE scores was similar to patients undergoing septal reconstruction using costal cartilage. Computational fluid dynamics analysis showed that septal reconstruction using PPE improved the patient's bilateral nasal airway morphology and flow symmetry.
The combined application of PPE and septal cartilage to reconstruct the nasal septum in East Asian patients with UCLND is effective to improve the ventilation function and nasal airway symmetry. This strategy can achieve aesthetically similar results to septal reconstruction using costal cartilage.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
东亚单侧唇裂鼻畸形（UCLND）患者存在严重的鼻中隔偏曲。一种创新的利用筛骨垂直板（PPE）和鼻中隔软骨进行鼻中隔重建的方法，可能改善通气功能，并在美学改善方面达到与使用肋软骨进行鼻中隔重建相似的效果。
回顾性纳入同期接受PPE或肋软骨鼻中隔重建的UCLND患者，按1:1比例。比较术前和术后NOSE和ROE量表的差异以及两组间得分变化。在一例使用PPE的病例中，采用计算流体动力学分析鼻气道形态和通气功能的变化。
共纳入24例患者进行分析。接受PPE鼻中隔重建的患者NOSE评分和ROE评分有显著改善。ROE评分的改善与接受肋软骨鼻中隔重建的患者相似。计算流体动力学分析表明，使用PPE进行鼻中隔重建改善了患者双侧鼻气道形态和气流对称性。
在东亚UCLND患者中联合应用PPE和鼻中隔软骨重建鼻中隔，可有效改善通气功能和鼻气道对称性。该策略在美学效果上可达到与使用肋软骨进行鼻中隔重建相似的结果。
证据级别III：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南 www.springer.com/00266 。
