The Related Research Of The Characteristics In Bilateral Complete Cleft Lip Postoperative Nasolabial Deformity

Objective: Case by case group and control group, and each samples witch in the case group left sides nasolabial loci related projects the comparison of measured values, to explore the differences of bilateral complete cleft lip postoperative facial deformity and characteristics of secondary nasolabial deformity. Understand the nasolabial skin and symmetry characteristic, as well as the issue of cleft lip postoperative wear nose mold auxiliary treatment of nasal deformity results. For the surgical treatment and after treatment effect evaluation to provide theoretical reference and guidance.Methods: Collected by the line since 2010 in our hospital "complete bilateral cleft lip repair surgery and at the same time open the nasal deformity correction", and there is no history of systemic disease, with no history of facial ministry skin disease, trauma, additional children as case group. In normal with no history, history of facial surgery, trauma, no systemic diseases of the same age, and the corresponding cases children with average weight is less than 10 kg for control group. Using linear data analysis together with the data set Angle bidirectional. Will measure the resulting data into database, application support spss11.5 software analysis of the case group and control group differences of measurement value of each project from the nasal labial surface anatomical features.Results: 1, in general cases, the comparison of measured values of the related indicators of whether to use nose model postoperative in the children that,the alar base length, nostrils wide, long high nose, nose, nasal columella, nose, nose Angle, wide nose length of the lateral Angle, the Angle, nasolabial Angle’ P value is less than 0.05, said has significant difference. 2. in the group of use nose model after surgery, the children who ware after 1 to 2 years of surgery compared with the control group reach that, alar base length, distance, nose nose lip peak peak to quarrel, nostrils wide, lip lip red edge low high, lips, nose, lip bead thickness wide’ P values are less than 0.05, said there was a significant difference. In 3-4 years after surgery, in addition to the various indicators of the above still have significant difference, its high nose, rake Angle, length of columella, nasal tip Angle, nasolabial Angle’ P value is less than 0.05, significant difference. 3. In the group of children which did not use nose medol, the 1 to 2 years after the surgery compared with the control group reach that, the except the lip width a P value is greater than 0.05, the rest of the 15 detection index P values are less than 0.05 indicates significant difference. After 3 to 4 years later, besides a lip width is still no obvious difference, long nose, lip peak to lips red edge low, the thickness of the lip bead’ P value is greater than 0.05, said there was no significant difference. P value of the rest of the items are less than 0.05, indicated significant difference. 4. Through the cases in each group with the measured value of the nasal labial ministry symmetry project comparison results show that all P values were greater than 0.05 of the project, said there was no significant difference.Conclusion: 1. Children with bilateral complete cleft palate in the nasolabial joint issue of reconstructive surgery and no use nose mold adjuvant therapy, the nasal labial ministry the vast number of observation indexes than normal age children have obvious difference. After 3-4 years, nasal lip deformity is still no significant improvement in whole. The main abnormal form of: nasal whole wide flat, philtrum too long, thinning lip bead. 2. Bilateral complete cleft lip postoperative used nose film adjuvant therapy, to aid in the treatment of nasal deformities have obvious effect. But in 3-4 years postoperatively, the nose to accelerate again. Therefore, recommend that children in the first phase of the postoperative 3-4 years which need second stage surgery to repair. 3. While using nasal mould of children 3 to 4 years after surgery again alar nasal deformity characteristics of collapse, but after using measurements associated with not using a group of children. In the comparison of the still have obvious differences, prove that use nose mold for postoperative nasal deformity also has obvious auxiliary therapeutic effect.4. Bilateral complete cleft lip with no obvious symmetry characteristics of nasal labial ministry deformities.