CAJ | 학술논문

目的总结单侧唇裂鼻偏曲的分类和相应的外科治疗方法,以提高临床治疗效果.方法分析2007至2009年在上海交通大学医学院附属第九人民医院口腔医学院唇腭裂治疗中心治疗的单侧唇裂继发鼻畸形176例.根据外鼻锥与面中线的关系,将唇裂鼻偏曲分为3类:骨性鼻偏曲、软骨性鼻偏曲、鼻小叶偏曲,与之对应的手术方法为:骨性鼻锥矫正术、软骨性鼻锥矫正术、鼻小叶矫正术和鼻中隔矫正术.结果 176例患者临床检查无鼻偏曲者93例(53%),伴鼻偏曲畸形者83例(47%).83例鼻偏曲患者中,骨性鼻偏曲8例(10%);软骨性鼻偏曲29例(35%);鼻小叶偏曲46例(55%).以上患者接受相应矫正手术,大部分术后获得满意的效果.结论单侧唇裂继发鼻畸形患者中近50%可出现鼻偏曲,其中骨性鼻偏曲畸形患者最少,鼻小叶偏曲畸形最多.唇裂鼻偏曲的分类对临床治疗唇裂术后鼻偏曲畸形具有指导意义.
목적 총결단측진렬비편곡적분류화상응적외과치료방법,이제고림상치료효과.방법 분석2007지2009년재상해교통대학의학원부속제구인민의원구강의학원진악렬치료중심치료적단측진렬계발비기형176례.근거외비추여면중선적관계,장진렬비편곡분위3류:골성비편곡、연골성비편곡、비소협편곡,여지대응적수술방법위:골성비추교정술、연골성비추교정술、비소협교정술화비중격교정술.결과 176례환자림상검사무비편곡자93례(53%),반비편곡기형자83례(47%).83례비편곡환자중,골성비편곡8례(10%);연골성비편곡29례(35%);비소협편곡46례(55%).이상환자접수상응교정수술,대부분술후획득만의적효과.결론 단측진렬계발비기형환자중근50%가출현비편곡,기중골성비편곡기형환자최소,비소협편곡기형최다.진렬비편곡적분류대림상치료진렬술후비편곡기형구유지도의의.
Objective To present a classification of the deviated nose with unilateral cleft lip and the associated surgical correction. MethodsA total of 176 cases of nasal deformities with unilateral cleft lip treated in Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology,Shanghai Jiao Tong University School of Medicine & Shanghai Research Institute of Stomatology & Shanghai Key Laboratory of Stomatology from 2007 to 2009 were analyzed. Depending on the relationship between the external pyramid and the facial midline, the nasal deviations with cleft lip were classified into 3 types: Ⅰ,deviated bony pyramid, Ⅱ, deviated cartilaginous pyramid; Ⅲ, deviated lobular. The surgical treatment included surgical correction of deviated bony pyramid, deviated cartilaginous pyramid, deviated lobular and deviated septa. ResultsAmong the 176 patients, there were 97 males and 79 females, aging from 16 to 42 years with a mean of 20. There were 93 patients without deviated and 83 patients with deviated. Among the 83 deviated patients, deviated bony pyramid was found in 8 ( 10% ), deviated cartilaginous pyramid in 29 (35%), deviated lobular in 46 ( 55 % ). Most patients who underwent surgical correction were satisfied.ConclusionsThere were nearly half of the unilateral cleft lip nasal deformity presenting with deviated noses. There was least deviated bony pyramid and most deviated lobular in the unilateral cleft lip deviated nose. The proposed classification for the deviated nose with unilateral cleft lip could serve as a practical guide for surgical planning.