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Nasal Outcomes of Presurgical Nasal Molding in Complete Unilateral Cleft Lip and Palate

机译:完全性单侧唇裂和Pal裂的术前鼻腔成型术的鼻腔结果

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摘要

Objective. Short-term nasal forms following primary lip repair were compared between presurgical nasal molding and control groups. Aim. To compare nasal symmetry between patients that had nasal molding and lip repair with those that had only lip repair. Design. Retrospective case-control study Patients. Complete unilateral CL+P patients had basilar and frontal photographs at two time points: (1) initial (2) postsurgical. 28 nasal molding patients and 14 control patients were included. Intervention. Presurgical nasal molding was performed prior to primary lip repair in intervention group. No nasal molding was performed in control group. Hypothesis. Nasal molding combined with lip surgery repair according to the Millard procedure provides superior nasal symmetry than surgery alone for nostril height-width ratios and alar groove ratios. Statistics. Shapiro-Wilk test of normality and Student's t-tests. Results. A statistically significant difference was found for postsurgical nostril height-width ratio (P < .05). No other statistically significant differences were found. Conclusions. Nasal molding and surgery resulted in more symmetrical nostril height-width ratios than surgery alone. Alar groove ratios were not statistically significantly different between groups perhaps because application of nasal molding was not early enough; postsurgical nasal splints were not utilized; overcorrection was not performed for nasal molding.
机译:目的。比较了术前鼻模和对照组之间初次唇修复后的短期鼻腔形式。目标。比较鼻模和唇修复的患者与仅唇修复的患者的鼻对称。设计。回顾性病例对照研究患者。完整的单侧CL + P患者在两个时间点有基底和额叶照片:(1)初始(2)术后。包括28例鼻造模患者和14例对照患者。介入。干预组在进行首次唇修复之前进行了手术前鼻腔成型。对照组未进行鼻造模术。假设。鼻腔成型与按Millard程序进行的唇部手术修复相结合,鼻孔的高宽比和阿拉尔沟纹比提供了比单纯手术更好的鼻腔对称性。统计。 Shapiro-Wilk正常性检验和学生的t检验。结果。术后鼻孔高宽比差异有统计学意义(P <.05)。没有发现其他统计上的显着差异。结论。鼻腔成型和手术比单独手术导致更对称的鼻孔高宽比。两组之间的鼻翼沟比率在统计学上没有显着差异,可能是因为鼻模的应用还不够早。没有使用手术后鼻夹板;没有对鼻模进行过度矫正。

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