Prevention and Treatment of Cleft Lip and Palate Classification and surgical treatment of the deviated nose with unilateral cleft lip
10.3760/cma.j.issn.1002-0098.2010.10.004
- VernacularTitle:单侧唇裂鼻偏曲的分类与治疗
- Author:
Yu-Sheng YANG
1
;
Guo-Min WANG
;
Yi-Lai WU
;
Yang CHEN
;
Yong ZHANG
;
Yun LIANG
Author Information
1. 上海交通大学医学院附属第九人民医院
- Keywords:
Cleft lip;
Classification,deviated nose;
Rhinoplasty
- From:
Chinese Journal of Stomatology
2010;45(10):581-583
- CountryChina
- Language:Chinese
-
Abstract:
Objective To present a classification of the deviated nose with unilateral cleft lip and the associated surgical correction. MethodsA total of 176 cases of nasal deformities with unilateral cleft lip treated in Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology,Shanghai Jiao Tong University School of Medicine & Shanghai Research Institute of Stomatology & Shanghai Key Laboratory of Stomatology from 2007 to 2009 were analyzed. Depending on the relationship between the external pyramid and the facial midline, the nasal deviations with cleft lip were classified into 3 types: Ⅰ,deviated bony pyramid, Ⅱ, deviated cartilaginous pyramid; Ⅲ, deviated lobular. The surgical treatment included surgical correction of deviated bony pyramid, deviated cartilaginous pyramid, deviated lobular and deviated septa. ResultsAmong the 176 patients, there were 97 males and 79 females, aging from 16 to 42 years with a mean of 20. There were 93 patients without deviated and 83 patients with deviated. Among the 83 deviated patients, deviated bony pyramid was found in 8 ( 10% ), deviated cartilaginous pyramid in 29 (35%), deviated lobular in 46 ( 55 % ). Most patients who underwent surgical correction were satisfied.ConclusionsThere were nearly half of the unilateral cleft lip nasal deformity presenting with deviated noses. There was least deviated bony pyramid and most deviated lobular in the unilateral cleft lip deviated nose. The proposed classification for the deviated nose with unilateral cleft lip could serve as a practical guide for surgical planning.
