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題 名 | The Comparison of Surgical Outcome of Primary Nasal Reconstruction between Patients with Unilateral Complete Cleft of Primary Palate and Complete Cleft of Primary and Secondary Palate=探討外科手術對於鼻部重建在單側初級完全顎裂及單側初級併次級完全顎裂之比較 |
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作 者 | 謝宇軒; 陳國鼎; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 22:4 2013.12[民102.12] |
頁 次 | 頁296-303 |
分類號 | 416.87 |
關鍵詞 | 單側初級完全顎裂; 單側初級併次級完全顎裂; 鼻部重建; Nasal reconstruction; Unilateral complete cleft of primary palate; Unilateral complete cleft of primary and secondary palate; |
語 文 | 英文(English) |
中文摘要 | 背景:骨骼的對稱性對於單側唇顎裂手術的結果是一個重要的影響因子。在術前,單側初級完全顎裂的病人(unilateral complete cleft of primary palate,UCCPP)的骨骼傾向有垂直的不一致而單側初級併次級完全顎裂的病人(unilateral complete cleft of primary and secondary palat,UCCPSP)傾向有水平的不一致。目的及目標:這個研究要比較術前骨骼的對稱性對於此兩族群手術效果對術後的影響。材料及方法:這個回溯性的研究包含了2001至2002年54個單側完全顎裂的病人。所有的病人術前皆接受鼻型齒槽骨矯正牙板(nasoalveolar molding,NAM)的治療並接受同一外科醫師(PKTC)執行同一矯正術式。鼻孔之高度、鼻孔之寬度、1/4內側鼻孔之高度、鼻孔底部的高度及鼻孔高度與寬的比值皆被用來比較手術的結果。外觀的評估(1~5分)用來比較術後的外觀。結果:術後兩組病人鼻孔之高度、鼻孔之寬度、1/4內側鼻孔之高度、鼻孔底部的高度及鼻孔高度與寬的比值皆有顯著的改善。外觀的評估在UCCPP組的病人平均為2.86分而在UCCPSP組平均為3.79分。相較之下,術後UCCPSP組在鼻孔之高度、1/4內側鼻孔之高度及鼻孔高度與寬度的比值有較好的矯正效果而UCCPP組在鼻孔之寬度有較好的結果。結論:UCCPSP組術後有較好的外觀,這可能解釋骨骼部垂直的不一致對於手術後效果的影響可能較大。 |
英文摘要 | Background:The symmetry of bony platform is an important factor affecting the surgical outcome of primary nasal reconstruction in unilateral cleft lip repairs. While patients with unilateral complete cleft of primary palate (UCCPP) tend to have sagittal discrepancy of the maxillary bony platform, patients with unilateral complete cleft of primary and secondary palate (UCCPSP) have horizontal discrepancy of their bony platform before their lip repairs.Aim and Objectives:This study is to compare the surgical outcome of primary nasal reconstruction between the two groups to determine the correlation of the direction of presurgical bony asymmetry versus their surgical outcomes.Materials and Methods:This is a retrospective study including 54 unilateral cleft patients operated between March. 2001 and Dec. 2002. All the patients had presurgical nasoalveolar molding (NAM) and same type of surgical repair by a single surgeon (PKTC). Nostril height, nostril width, ¼ medial part of nostril height, nasal sill height and inner-nostril height/width ratio were used to evaluate the surgical outcomes. A panel assessment (Score: 1-5) was used to evaluate the general appearance of the surgical result.Results:Nostril height, nostril width, ¼ medial height, nasal sill height, height/width ratio were significant improved in both groups after operation. The average postoperative score for UCCPP group is 2.86 while the score for UCCPSP group is 3.79. The UCCPSP group had a better surgical outcome in nostril height, ¼ medial height and height/width ratio while the UCCPP group showed better results in nostril width.Conclusion:The UCCPSP group has a better result in primary nasal reconstruction compared to their peers with UCCPP, which indicates that sagittal discrepancy of the bony platform is a more important factor affecting the surgical outcome of primary nasal reconstruction in cleft lip repairs. |
本系統中英文摘要資訊取自各篇刊載內容。