鼻中隔矫正术在单侧完全性唇裂鼻畸形初期整复中的应用  

Application of septoplasty and primary cheiloplasty for complete unilateral cleft lip

作　　者：米热古丽·图尔荪江 龙星 傅豫川 柯金 孟庆功 金辉喜 钦传奇 徐玉丽 何慧君 陈慧兰 冉明 李健 Mireguli· Tuersunjiang;Long Xing;Fu Yuchuan;Ke Jin;Meng Qinggong;Jin Huixi;Qin Chuanqi;Xu Yuli;He Huijun;Chen Huilan;Ran Ming;Li Jian(The State Key Laboratory Breeding Base of Basic Science of Stomatology ( Hubei-MOST) Key Laboratory of Oral Biomedicine Ministry of Education,School & Hospital of Stomalology, Wuhan University, Wuhan 430079, China)

机构地区：[1]武汉大学口腔医院颞下颌关节、唇腭裂及涎腺外科,口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室,430079

出　　处：《中华整形外科杂志》2019年第1期23-27,共5页Chinese Journal of Plastic Surgery

摘　　要：目的评价单侧完全性唇裂初期修复术同期行鼻中隔矫正术的临床效果。方法选择武汉大学口腔医院24例单侧完全性唇裂鼻畸形患者为研究对象,男14例,女10例,年龄3~6个月。24例按就诊时间分为2组,2013年1月至2014年12月12例为对照组,行Mohler法唇裂修复术;2015年1月至2017年4月12例为矫正组,行Mohler法唇裂修复术,同期行鼻中隔矫正术。随访6个月,用三维照片测量鼻部各项指标,采用SPSS 21.0软件进行独立样本t检验,比较2组患者鼻形态差异,P<0.05为差异有统计学意义。结果2组患者术后均一期愈合,随访6个月,均无鼻中隔穿孔等并发症。矫正组与对照组之间鼻部各项指标的差异均有统计学意义(P<0.05),其中矫正组的鼻小柱宽度、患侧鼻孔底宽度、鼻小柱倾斜度小于对照组;鼻尖高度、鼻小柱高度、患侧鼻孔高度大于对照组。结论单侧完全性唇裂初期修复术时,同期行鼻中隔矫正术可以延长鼻小柱,矫正鼻小柱偏曲,并获得稳定的鼻外形。Objective To explore the application of septoplasty and cheiloplasty in complete unilateral cleft lip repairment, and evaluate the effect on nasal shape correction. Methods Twenty-four infants with complete unilateral cleft lip were divided into two groups: the correction group and the control group. Both groups underwent cheiloplasty by Mohler′s technique, septoplasty was performed in the correction group during the primary cheiloplasty. Six-month follow-up was taken to evaluate the nasal shape with the three dimensional images. Independent-samples t Test was performed using SPSS 21.0, to compare the nasal morphology between two groups. Results All patients healed in the first stage, and were followed for 6 months after operations. There were no complication, including nasal septum perforation, occurred in either group.There were statistically significant differences in nasal parameters between the correction group and controls (P<0.05). The columellar width, nostril width on the affected side, and columella deviation of the correction group were smaller, than those of controls. The nose tip height, columellar height and nostril height on the affected side of the correction group were greater than those of the control group. Conclusions Septoplasty associated with the primary cheiloplasty in complete unilateral cleft lip repairment, shows better results in the elongation of the nasal columella, and the correction of septum deviation, and provides a stable nasal structure.

关 键 词：完全性唇裂 鼻中隔 畸形 三维 

分 类 号：R782.2[医药卫生—口腔医学]