■单侧唇裂伴或不伴腭裂(UCL/P)患者的术后形态表现差异很大,不管是完整的还是不完整的裂口。唇裂术后双侧唇不对称的主要原因在于术前缺乏个性化的测量和设计。在这项研究中,我们的目的是单独调查单侧唇裂伴或不伴腭裂(UCL/P)患者的唇裂侧和非唇裂侧的上唇区域.
■92例UCL/P患者(第1组:<1年,第2组:1-2年)纳入研究。第1组包括37例不完全UCL/P患者和29例完全UCL/P患者;第2组包括11例和15例患者,分别。裂隙侧(Q8)上唇的总面积分为Q3,Q4和Q5(进一步分为a1和a2),将非裂隙侧的上唇(Q7)分为Q2和Q1(进一步分为A1和A2)。计算裂隙和非裂隙边之间的面积比,并测试了某些参数与这些比率的相关性。
■完全和不完全UCL/P患者的Q8/Q7值部分重叠。注意到hiltrum柱的高度差异(a-h)与裂隙和非裂隙侧之间的前阴唇面积比(Q3/Q2)之间存在显着相关性(P=0.032)。此外,a1/A1与裂隙和非裂隙侧唇面积之比(Q5/Q1)之间存在显著相关性(P=0.001).
■将单侧唇裂分为不完整和完整的常规分类并不能完全准确地反映出个体畸形。因此,有必要单独分析单侧唇裂,以确定修复技术并预测术后结果。
UNASSIGNED: The postoperative morphological appearances vary widely patients with unilateral cleft lip with or without cleft palate (UCL/P), whether it is complete or incomplete cleft. The main reason of bilateral lip asymmetry after cleft lip surgery lies in the lack of personalized measurement and design before surgery. In this study, we aim to individually investigate areas of the upper lip on cleft and non-cleft sides in patients with unilateral cleft lip with or without cleft palate (UCL/P).
UNASSIGNED: Ninety-two patients with UCL/P (group 1: <1 year, group 2: 1-2 years) were included in the study. Group 1 included 37 patients with incomplete UCL/P and 29 with complete UCL/P; group 2 included 11 and 15 patients, respectively. The total area of the upper lip on the cleft side (Q8) was divided into Q3, Q4, and Q5 (further divided into a1 and a2), and the upper lip on the non-cleft side (Q7) was divided into Q2 and Q1 (further divided into A1 and A2). Area ratios between the cleft and the non-cleft sides were calculated, and certain parameters were tested for correlations with these ratios.
UNASSIGNED: Values of Q8/Q7 were partially overlapped between patients with complete and incomplete UCL/P. Significant correlations were noted between differences in height of the philtrum column (a-h) and the prolabial area ratio between the cleft and the non-cleft side (Q3/Q2) (P=0.032). Moreover, a significant correlation was noted between a1/A1 and the ratio of the lateral labial area between the cleft and the non-cleft side (Q5/Q1) (P=0.001).
UNASSIGNED: The conventional classification of unilateral cleft lip as incomplete and complete does not completely and accurately reflect individual malformations. Therefore, it is necessary to analyze unilateral cleft lips individually to determine the repair technique and to predict postoperative outcomes.