肌肉平衡重建矫正鼻部对称性的短期临床效果评估  

Short-term nasal symmetry repaired by force-balanced muscular reconstruction technique

作　　者：刘颖蒙 陈宇[1] 张碧荷 石冰[1] 李承浩[1] Liu Yingmeng;Chen Yu;Zhang Bihe;Shi Bing;Li Chenghao(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Cleft Lip and Palate Surgery,West China Hospital of Stomatology,Sichuan Univer‐sity,Chengdu 610041,China;Dept.of Oral and Maxillofacial Surgery,Peking University School and Hospital of Sto‐matology,Beijing 100000,China)

机构地区：[1]口腔疾病研究国家重点实验室国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科,成都610041 [2]北京大学口腔医院口腔颌面外科,北京100000

出　　处：《华西口腔医学杂志》2021年第5期560-565,共6页West China Journal of Stomatology

基　　金：四川大学华西口腔医院临床研究项目(LCYJ2019-10,LCYJ2019-12);四川省科技厅重点项目(19ZDYF1430)。

摘　　要：目的通过比较创新和传统两种肌肉重建技术联合鼻内固定术修复单侧继发鼻唇畸形术后短期鼻部对称性评估效果,为进一步改进唇裂二期手术治疗提供依据。方法选取60例单侧唇裂继发鼻唇畸形患者,年龄4~18岁,采用创新肌肉重建技术联合鼻内固定术修复28例,传统肌肉重建技术联合鼻内固定术修复32例,使用二维照片测量分析法,对比术前和术后7 d的短期效果。结果术后7 d,力矩平衡肌肉重建组相比于术前在鼻小柱偏斜角、裂隙侧的鼻翼切线角、鼻翼缘立体性有较好恢复,鼻底对称性、鼻孔宽度对称性、鼻孔高度对称性、鼻翼切线角对称性和鼻孔形状也有较大改善(P<0.05)。结论新肌肉重建技术联合鼻内固定术对单侧继发鼻唇畸形修复效果显著。Objective This study aimed to compare the postoperative outcome of the new and classical muscular re‐construction technique combined with nasal internal-fixation method for secondary deformity post unilateral cleft lip re‐pair.A rationale is provided for the further surgical improvement of secondary deformities.Methods Sixty patients aged 4-18 years with secondary unilateral cleft lip-nose deformity were involved in this research.The deformities of 28 patients were repaired using the muscular force balance technique through nasal internal fixation method,and 32 were re‐paired using classical muscular reconstruction technique.Two-dimensional analysis was used to evaluate the nose-lip morphology of pre-and post-operative patients through standardized photographs seven days after surgery.Results Compared with preoperative nasal morphology in the muscular force balance technique group,the 7-days postoperative results of this group showed the significantly improved short-term outcomes in the correction of columellar deflection,alar rim angle,nasal shape,and the symmetry of alar base width,nostril width,nostril height,alar rim angle(P<0.05).Conclusion The new muscular reconstruction technique with nasal internal-fixation method has a signif‐icant effect on nasal repair.

关 键 词：单侧唇裂术后继发鼻唇畸形 鼻部畸形 二期手术 力矩平衡肌肉重建 

分 类 号：R782.2[医药卫生—口腔医学]