Presurgical Unilateral Cleft Lip Anthropometrics: Implications for the Choice of Repair Technique
Presurgical Unilateral Cleft Lip Anthropometrics: Implications for the Choice of Repair Technique
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术前单侧唇裂人体测量：对修复技术选择的影响
DOI：
10.1097/prs.0b013e318200aa2e
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发表时间：
2011
影响因子：
3.6
通讯作者：
D. Fisher
中科院分区：
文献类型：
--
作者：
C. Boorer;David Cho;Vijith S. Vijayasekaran;D. Fisher
背景资料：已经指出，只有当侧唇在其垂直和水平尺寸上都较短时，才难以通过旋转前移修复获得侧唇的高度。作者研究了唇裂术前人体测量，以确定“几何学上不利的侧唇”的频率-垂直和横向尺寸都很短。研究方法：对100例单侧唇裂患者（51例完全性唇裂，49例不完全性唇裂）在全麻下行唇裂修复术前，由一名观察者直接测量唇高和唇横长。结果如下：在75例患者中，侧唇的高度小于非唇裂侧的高度;平均小于非唇裂侧2.1 mm（或为非唇裂侧的82%）（范围为50%至133%）。在86例患者中，侧唇横向长度小于非唇裂侧;平均小于非唇裂侧2.7 mm（或86%）（范围66%至114%）。在75例身高不足的患者中，63例患者同时存在横向长度不足。有19名患者表现出垂直高度不足4 mm或更多（平均值>1 SD），79%的极端高度不足的患者也表现出横向长度不足。结论：侧唇在垂直和横向上都很短。这些发现值得考虑使用修复以外的旋转推进（及其变化）在设置侧唇缺损。
Background: It has been stated that height of the lateral lip is difficult to obtain with the rotation advancement repair only when the lateral lip is short in both its vertical and horizontal dimensions. The authors studied preoperative cleft lip anthropometry to determine the frequency of the “geometrically unfavorable lateral lip”—short in both vertical and transverse dimensions. Methods: Direct caliper measurements were taken by a single observer of the heights and of the transverse lengths in 100 consecutive patients (age ≥3 months and <6 months) with unilateral cleft lip (51 complete and 49 incomplete) who were under general anesthesia just before cleft lip repair. Results: In 75 patients, the height of the lateral lip was less than that of the noncleft side; on average, 2.1 mm less than (or 82 percent of) the noncleft side (range, 50 to 133 percent). In 86 patients, the lateral lip transverse length was less than on the noncleft side; on average, 2.7 mm less than (or 86 percent of) the noncleft side (range, 66 to 114 percent). Of the 75 patients with height deficiency, 63 patients also had transverse length deficiency. There were 19 patients who exhibited vertical height deficiency of 4 mm or more (>1 SD from the mean), and 79 percent of these patients with extreme height deficiency also exhibited transverse length deficiency. Conclusions: The lateral lip is frequently short in both vertical and transverse dimensions. These findings warrant consideration for the use of repairs other than rotation advancement (and its variations) in the setting of lateral lip deficiency.