目的:本研究的目的是测量单侧唇腭裂患者在唇缘整复术和初次隆鼻术(初次矫正)结合Korat-NAM使用前后鼻子和嘴唇的形态变化。
方法:纵向队列研究。
方法:裂口中心MaharatNahonRatchasima医院,NakhonRatchasima,泰国。
方法:26例单侧唇腭裂患者。
方法:对照组:初次矫正前仅主动闭孔。实验组:主动式闭孔器和初次矫正前的Korat-NAMI。将定制的气管内导管保留在鼻孔中3周,然后改用Korat-NAMII1年。
方法:六个测量,包括鼻孔边缘长度,鼻孔高度,鼻孔门槛宽度,小柱角度,垂直唇高,从患者的照片中测量水平唇长。所有测量,除了小柱角度,报告为裂隙侧/非裂隙侧值比。测量是在初次任命时进行的,在此之前,3周后,和1年后的主要校正。
结果:鼻孔边缘长度比,鼻孔高度比,鼻孔门槛宽度比,裂隙侧的小柱角度,在初次矫正之前和之后3周,使用Korat-NAM可以改善垂直唇高比率。鼻孔边缘长度和高度比明显优于对照组。
结论:Korat-NAM在初次矫正前改善了鼻子和嘴唇的形态。过度矫正改善了left侧的鼻子和嘴唇形态。初次矫正1年后,Korat-NAMII的鼻孔边缘长度和c裂侧面的垂直唇高也得到了改善。
OBJECTIVE: The objective of this study is to measure the morphological changes of the nose and lip in patients with unilateral cleft lip and palate before and after
cheiloplasty with primary rhinoplasty (primary correction) in conjunction with Korat-NAM usage.
METHODS: Longitudinal cohort study.
METHODS: Cleft Center Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand.
METHODS: Twenty-six patients with unilateral cleft lip and palate.
METHODS: Control group: only active obturator before primary correction. Experimental group: an active obturator and Korat-NAM I before primary correction. A customized endotracheal tube was retained in the nostril for 3 weeks before switching to Korat-NAM II for 1 year.
METHODS: Six measurements comprising nostril rim length, nostril height, nostril sill width, columella angle, vertical lip height, and horizontal lip length were measured from the patients\' photographs. All measurements, except the columella angle, were reported as the cleft side/non-cleft side value ratio. Measurements were taken at the initial appointment, immediately before, 3 weeks after, and 1 year after primary correction.
RESULTS: Nostril rim length ratio, nostril height ratio, nostril sill width ratio, columella angle on the cleft side, and vertical lip height ratio were improved using Korat-NAM before and 3 weeks after primary correction. Nostril rim length and height ratios were significantly better than the control group.
CONCLUSIONS: Korat-NAM improved nose and lip morphology before primary correction. An overcorrection improved the nose and lip morphology on the cleft side. The nostril rim length and vertical lip height on the cleft side also improved with Korat-NAM II 1 year after primary correction.