Mature Cleft Rhinoplasty: Morphologic Outcomes of Septal Cartilage Grafting.

IF 1.3 4区医学 Q2 Dentistry

Cleft Palate-Craniofacial Journal Pub Date : 2025-10-03 DOI:10.1177/10556656251382536

Lucas R Perez Rivera, Matthew Brett, David A Staffenberg, Roberto L Flores

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引用次数: 0

Abstract

ObjectiveTo evaluate morphologic outcomes following mature cleft rhinoplasty using exclusive septum cartilage grafting.DesignRetrospective, observational study.SettingSingle institution, 8-year retrospective review.Patients/ParticipantsA total of 31 facially mature patients with non-syndromic unilateral cleft lip were included in this study.InterventionsPatients underwent mature cleft rhinoplasty using septum cartilage as the exclusive graft source.Main Outcome MeasuresPreoperative and postoperative photographs (at least 1 year after surgery) were analyzed using 8 distinct anthropometric parameters to assess for statistical significance in the changes to nasal morphology. Paired-samples t-tests were performed, and statistical significance was defined as P < .05.ResultsThe mean changes following mature cleft rhinoplasty were: alar cant 1.96 to 0.95 (P < .001), alar height angle 1.90 to 1.21 (P = .006), nasal tip deviation 2.90 to 1.99 (P < .001), vertical alar height ratio 0.95 to 0.95 (P = .4), nasofacial angle 28.52 to 31.48 (P = .003), nasolabial angle 83.15 to 87.96 (P = .01), columellar angle 9.09 to 3.30 (P < .0001), and nostril height ratio 0.80 to 0.88 (P < .001).ConclusionsThe nasal septum can be considered as a reliable initial choice for cartilage grafts during mature cleft rhinoplasty.

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成熟裂鼻成形术：鼻中隔软骨移植的形态学结果。

目的评价鼻中隔软骨移植成形术后的形态学效果。设计回顾性观察性研究。单一机构，8年回顾性审查。患者/参与者本研究共纳入31例面部成熟的非综合征性单侧唇裂患者。干预措施：患者采用鼻中隔软骨作为唯一的移植源进行成熟的鼻裂成形术。采用8个不同的人体测量参数分析手术中和术后照片（术后至少1年），以评估鼻形态变化的统计学意义。结果成熟裂鼻成形术后的平均变化为：鼻翼差1.96 ~ 0.95 (P =。006)，鼻尖偏差2.90 ~ 1.99 (P P =。4)，鼻面角28.52 ~ 31.48 (P =。003)，鼻唇角83.15 ~ 87.96 (P =。结论鼻中隔可作为成熟型裂鼻成形术中软骨移植的可靠起始选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY

CiteScore

2.20

自引率

36.40%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.