术前鼻模结合手术矫正单侧不完全性唇裂鼻畸形的临床研究

The effects of presurgical nasal mode combined with nasal diorthosis in the treatment of nasal deformity and incomplete unilateral cleft lip

目的:评价采用术前鼻模矫治(PNM)结合唇裂手术初期鼻矫正术治疗单侧不完全性唇裂的临床效果。方法:35例行PNM单侧不完全唇裂患儿为治疗组;对照组35例未行术前治疗。在矫正前(T0)、唇裂术前(T1)、术后1周(T2)、术后1月(T3)、术后1年(T4)分别拍摄鼻部照片,测量分析鼻孔高度、鼻孔宽度、鼻小柱倾斜度的对称性的变化。结果:T0-T1、T1-T2,患者的鼻孔高度、鼻孔宽度和鼻小柱偏斜度明显改善(P<0.05),在T2-T3与T3-T4,改善程度差异无统计学意义(P>0.05)。结论:PNM结合唇裂手术初期修复鼻畸形可明显改善鼻部对称性,提高单侧不完全性唇裂鼻畸形的治疗效果。

Objective： To evaluate the effect of presurgical nasal mode（PNM） combined with nasal diorthosis in the treatment of nasal deformity and incomplete unilateral cleft lip（IUCL） in infants. Methods： 35 infants with IUCL were treated by PNM followed by nasal diorthosis and cheiloplasty. The nasal asymmetry was analysed by measurments of nostrils height,nostrils width and nasal columella angle skewness on the photographs at the initial visit（T0）,pre-operation（T1）,1 week after operation（T2）,1 month after operation（T3） and a year after operation（T4）. The other 35 infants with IUCL without PNM treatment were served as the controls. Results： Compared with the controls,the symmetry of nostrils height,nostrils width,nasal columella angle skewness in PNM treated children were significantly improved at T0-T1 and T1-T2（P〈0. 05）. there was no significant difference at T2-T3 and T3-T4（P〉0.05）. Conclusion： Nasal asymmetry can be improved by presurgical nasal mode treatment followed by preliminary nasal deformity diorthosis and cheiloplasty.