Mesh : Humans Cleft Lip / pathology diagnostic imaging surgery Cleft Palate / pathology diagnostic imaging surgery Retrospective Studies Cephalometry Female Male Cross-Sectional Studies Adult Nose / diagnostic imaging anatomy & histology pathology Case-Control Studies Adolescent Maxilla / diagnostic imaging pathology

来  源:   DOI:10.1097/SCS.0000000000010102

Abstract:
This retrospective cross-sectional study reviewed adult patients with operated cleft lip and/or palate (CL/P) and normal control, and performed comprehensive craniofacial and nasal morphological analyses based on lateral cephalometric radiographs. Pearson or Spearman correlation coefficient assessed intraclass correlation. Seven hundred fifty-seven operated patients with CL/P, and 165 noncleft normal controls were enrolled. Among the normal and CL/P groups, S-N-A angle registered positive correlations with nasal base prominence (S-N\'-Sn, degrees). Upper facial height (N-ANS, mm) had positive correlations with nasal dorsum length (N\'-Prn, mm) and nasal bone length (N-Na, mm). Although in patients with bilateral cleft lip and palate, there were moderate negative correlations ( r =-0.541, P <0.05) with soft tissue facial profile angle (FH-N\'Pog\', degree) and nasolabial angle (Cm-Sn-ULA, degree). Correlation exists between the morphology of jaw bones and external nose among patients with CL/P. Maxillary sagittal insufficiency is associated with concave nasal profile, and maxilla height is associated with nasal length.
摘要:
这项回顾性横断面研究回顾了成年唇裂和/或腭裂(CL/P)患者和正常对照,并根据侧位头颅X线片进行了全面的颅面和鼻形态学分析。皮尔逊或斯皮尔曼相关系数评估组内相关性。757名CL/P手术患者,纳入165名非裂隙正常对照。在正常组和CL/P组中,S-N-A角与鼻基底突出呈正相关(S-N'-Sn,度)。面部上部高度(N-ANS,mm)与鼻背长度呈正相关(N'-Prn,mm)和鼻骨长度(N-Na,mm).虽然在双侧唇腭裂患者中,与软组织面部轮廓角度呈中度负相关(r=-0.541,P<0.05)(FH-N\'Pog\',度)和鼻唇沟角度(Cm-Sn-ULA,度)。CL/P患者颌骨形态与外鼻之间存在相关性。上颌矢状位功能不全与凹形鼻部轮廓有关,上颌骨高度与鼻长有关。
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