Fourth-Dimensional Changes in Nasolabial Dimensions following Rotation-Advancement Repair of Unilateral Cleft Lip
Fourth-Dimensional Changes in Nasolabial Dimensions following Rotation-Advancement Repair of Unilateral Cleft Lip
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DOI：
10.1097/prs.0b013e31822b69b4
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发表时间：
2012-02-01
影响因子：
3.6
通讯作者：
LaBrie, Richard A.
中科院分区：
文献类型：
--
作者：
Mulliken, John B.;LaBrie, Richard A.
背景资料：修复单侧唇裂需要三维工艺和理解四维changes.Methods：99例单侧完全或不完全唇裂的儿童进行了直接人体测量旋转推进修复（术中），并再次在童年。在半鼻宽度，唇高，唇宽的变化进行了分析和比较措施，根据是否裂缝是不完全/完整或涉及左/右side.Results：平均半鼻宽度（SN-铝）设置1毫米左右的裂缝侧和测量只有0.7毫米在6年。唇高（sn-cphi）在修复时裂侧稍大，在随访时与非裂侧相匹配。手术时垂直尺寸（sbal-cphi）略小;两侧的百分比变化相同。唇横宽（cphi-ch）在裂侧设置得较短，并且不成比例地延长，导致6岁时差异小于1 mm。所有的人体测量尺寸增长较少完全唇裂与不完全的形式相比，然而，只有唇的高度和宽度有显着差异。有没有差距，在鼻唇沟的增长之间的左，右siriplips.Conclusions：唇腭裂的基础上向外漂移，并应定位略内侧和固定到鼻或骨膜。唇高的增长滞后，因此，修复侧应等于或略大于正常侧，特别是在一个完整的唇裂。唇的横向宽度在唇裂侧增长更多，因此，外侧丘比特弓顶点可以标记为更接近连合，以匹配非唇裂侧的唇高度。（Plast。重建《外科学》129：491，2012年。）临床问题/证据等级：治疗，IV。
Background: Repair of unilateral cleft lip requires three-dimensional craftsmanship and understanding four-dimensional changes.Methods: Ninety-nine children with unilateral complete or incomplete cleft lip were measured by direct anthropometry following rotation-advancement repair (intraoperatively) and again in childhood. Changes in heminasal width, labial height, and labial width were analyzed and compared measures depending on whether the cleft was incomplete/complete or involved left/right side.Results: Average heminasal width (sn-al) was set 1 mm less on the cleft side and measured only 0.7 mm less at 6 years. Labial height (sn-cphi) was slightly greater on the cleft side at repair and matched the noncleft side at follow-up. Vertical dimension (sbal-cphi) was slightly less at operation; the percent change was the same on both sides. Transverse labial width (cphi-ch) was set short on the cleft side and lengthened disproportionately, resulting in less than 1 mm difference at 6 years. All anthropometric dimensions grew less in complete cleft lips compared with incomplete forms; however, only labial height and width were significantly different. There were no disparities in nasolabial growth between left-and right-sided cleft lips.Conclusions: Cleft side alar base drifts laterally and should be positioned slightly more medial and secured to nasalis or periosteum. Growth in labial height lags and, therefore, the repaired side should be equal to or slightly greater than on the normal side, particularly in a complete labial cleft. Transverse labial width grows more on the cleft side; thus, lateral Cupid's bow peak point can be marked closer to the commissure to match the labial height on the noncleft side. (Plast. Reconstr. Surg. 129: 491, 2012.)CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.