Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (3): 279-286.doi: 10.7518/gjkq.2023055

• Cleft Lip and Palate • Previous Articles     Next Articles

Characterizing the nasal growth among patients with cleft lip and palate

Chen Zhuo(),Shi Bing,Li Jingtao.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-09-06 Revised:2023-01-13 Online:2023-05-01 Published:2023-05-16
  • Contact: Jingtao. Li E-mail:cz10262021@163.com;lijingtao86@163.com

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Abstract:

Congenital cleft lip and palate is often associated with nasal deformity, impairing facial aesthetics and life quality. Thorough understanding of the dynamic changes of nasal morphology during growth is prerequisite for improving clinical management. This review pooled nasal growth data from current literature and systemically introduced the nasal growth pattern among normal and cleft population and iatrogenic influence exerted by sequence treatment, providing refe-rence to further researches and clinical decision-making concerning surgical techniques and timing.

Key words: cleft lip and palate, nasal deformity, nasal growth, team approach

CLC Number: 

  • R 782.2

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Tab 1

Definition of common external nose shape measurement indexes"

测量指标定义
外鼻体积近似于2个四面体的体积：基底为双侧鼻翼嵴点与鼻尖点连成平面，2个四面体的高分别为鼻根点和鼻下点至基底的垂直距离
外鼻表面积近似为4个三角形鼻根点-鼻尖点-右鼻翼嵴点、鼻根点-鼻尖点-左鼻翼嵴点、鼻尖点-鼻下点-右鼻翼嵴点和鼻尖点-鼻下点-左鼻翼嵴点面积之和
鼻背长度鼻根点-鼻尖点连线的距离
上鼻背角度软组织鼻根点-软组织鼻骨点连线与蝶鞍点-鼻根点连线形成的夹角
下鼻背角度鼻尖点-软组织鼻骨点连线与蝶鞍点-鼻根点连线形成的夹角
鼻底宽度双侧鼻翼嵴点连线的距离
外鼻高度软组织鼻根点-鼻下点连线的距离
鼻尖突度鼻下点-鼻尖点连线的距离
鼻小柱角度鼻下点-软组织鼻根点的连线与鼻下点-鼻尖点的连线形成的夹角
鼻小柱长度鼻下点与连接双侧鼻孔最上内侧点连线的垂直距离
鼻唇角度鼻小柱最前点-鼻下点的连线与鼻下点-上前唇最突出点的连线形成的夹角
鼻尖角度软组织鼻根点-鼻尖点-鼻下点连线形成的角度
鼻尖矢状长度经过鼻唇沟且垂直于眶耳平面的冠状平面至鼻尖点的线性距离

Fig 1

External nasal growth trend in normal population"

Fig 2

Nasal alar base width growth trend in cleft lip and palate patients"

Fig 3

Nasolabial angle growth trend in cleft lip and palate patients"

Fig 4

Nasal dorsum length growth trend in cleft lip and palate patients"

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