Int J Stomatol

Int J Stomatol ›› 2019, Vol. 46 ›› Issue (4): 407-412.doi: 10.7518/gjkq.2019038

• Original Articles • Previous Articles     Next Articles

Exploration on nasal objective measurements affecting subjective evaluation of the secondary reconstruction of unilateral cleft lip nasal deformity

Li Yeping,Zheng Qian,Yin Heng,Guo Chunli,Shi Bing,Li Chenghao()   

  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:2018-10-09 Revised:2019-04-20 Online:2019-07-01 Published:2019-07-12
  • Supported by:
    This study was supported by Innovative Spark Project of Sichuan University(2018SCUH0028)

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Abstract:

Objective To determine objective measurements affecting the subjective evaluation of the secondary reconstruction of unilateral cleft lip nasal deformity and further enhance unilateral cleft lip deformity results.Methods Eighty patients treated with secondary cleft rhinoplasty were enrolled. The study used the Asher-Mcdade subjective evaluation system to rate nasal appearance based on basilar view photographs to measure and record nose shape parameters. Correlation between subjective evaluation results and objective measurement parameters was investigated using multilevel model analysis.Result sMultilevel model analysis results showed that among five measurements on nasal parameters, statistically significant differences were observed only for nasal tip and columellar length between subjective evaluation and objective measurements.Conclusion Tip deviation and columellar length parameters could be used as prognostic indicators for grading subjective evaluation, whereas post-operative nasal alar convex angle, mesial inclination of ala, and nasal floor width parameters showed no significant correlation.

Key words: unilateral cleft nasal deformity, cleft rhinoplasty, subjective assessment, objective measurement, correlation study

CLC Number: 

  • R782

TrendMD: 

Fig 1

Schematic diagram of nasal measurement parameters"

Tab 1

Statistical analysis of muti-modeling test"

参数 估计 标准误 统计量值 P值
固定效应
截距 4.385 2.196 3.987 0.046
鼻尖对称参数 3.273 1.374 5.674 0.017
鼻翼外凸角 -0.021 0.013 2.609 0.106
鼻翼基脚内倾角 0.001 0.007 0.020 0.888
鼻底对称参数 1.472 0.808 3.319 0.068
鼻小柱对称参数 2.563 0.649 15.596 <0.001
随机效应
评价者（水平3方差） 0.248 0.082 9.147 0.002
评价时间（水平2方差） 0.809 0.092 77.325 <0.001
评价等级（水平1方差） 0.375 0.030 156.25 <0.001
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