单侧唇裂患者的耳廓不对称:二次鼻整形的意义

IF 1.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Cleft Palate-Craniofacial Journal Pub Date : 2024-08-01 Epub Date: 2023-04-04 DOI:10.1177/10556656231168769
Lucas M Harrison, Laura Kenyon, Denzil P Mathew, Christopher A Derderian, Rami R Hallac
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引用次数: 0

摘要

目的:单侧唇裂(UCL)鼻畸形的唇颊不对称是一个公认的临床特征。然而,目前还缺乏对这种不对称的全面定量分析。本研究比较了骨骼发育成熟的 UCL 患者唇裂和非唇裂鼻翼的形状、体积和轴旋转情况:设计:利用三维渲染 CT 扫描进行回顾性比较研究:地点:三级儿科医疗机构:本研究纳入了 18 名骨骼发育成熟的 UCL 鼻畸形患者:裂侧和非裂侧鼻翼的体积、表面积以及与中矢状面的轴线:结果:与非左侧腭裂相比,左侧腭裂的体积明显小于非左侧腭裂 27.3%,表面积明显小于非左侧腭裂 17.6%,表面积与体积之比明显大于非左侧腭裂 14.6%。与中矢状面相比,裂侧鼻翼的水平轴明显增大 43.1%。在初级鼻整形术患者中,裂侧鼻翼的体积比非裂侧少 28.0%,表面积比非裂侧少 18.7%。在中级鼻整形术中,与非唇裂侧鼻翼相比,唇裂侧鼻翼的体积减少了 39.1%,表面积减少了 23.5%:结论:在 UCL 患者中,裂侧耳廓和非裂侧耳廓之间存在明显的不对称。裂侧胼胝体的体积和表面积明显小于非裂侧胼胝体。此外,耳裂侧鼻中隔的水平轴明显大于非耳裂侧鼻中隔,这在很大程度上造成了鼻部不对称,因此有必要恢复耳裂侧鼻中隔的正常垂直轴。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Alar Asymmetry in Patients with Unilateral Cleft Lip: Implications for Secondary Rhinoplasty.

Objective: Alar asymmetry in unilateral cleft lip (UCL) nasal deformity is a well-recognized clinical feature. However, there is a lack of comprehensive quantitative analysis of this asymmetry. This study compares the shape, volume, and axis rotation between the cleft and non-cleft ala in skeletally mature patients with UCL.

Design: A retrospective comparative study utilizing three-dimensional rendered CT scans.

Setting: Tertiary care pediatric institution.

Patients, participants: This study included 18 patients with UCL nasal deformity at skeletal maturity.

Main outcome measure(s): Cleft and non-cleft side ala volume, surface area, and axis to the midsagittal plane.

Results: The cleft-side ala was significantly lesser in volume by 27.3%, significantly lesser in surface area by 17.6%, and significantly greater in surface area to volume ratio by 14.6% than the non-cleft ala. The cleft-side ala was significantly greater by 43.1% horizontal axis to the midsagittal plane. In patients with primary rhinoplasty, the cleft-side ala had 28.0% less volume and 18.7% less surface area. In intermediate rhinoplasty, the cleft-side ala had 39.1% less volume and 23.5% less surface area than the non-cleft ala.

Conclusions: Significant asymmetry exists between the cleft-side and non-cleft ala in patients with UCL. The cleft-side ala is significantly smaller in volume and surface area than the non-cleft ala. Additionally, the cleft-side ala demonstrates a significantly greater horizontal axis that contributes considerably to nasal asymmetry, supporting the need to restore a normal vertical axis to the clef-side ala.

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来源期刊
CiteScore
2.70
自引率
36.40%
发文量
215
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.
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