Structure measurement of nasal labial ministry for children with unilateral complete cleft lip postoperative 1-6 years

Abstract

Objective To observe nasal labial ministry structure of children with unilateral complete cleft lip Millard postoperative 1, 3, 6 years, and provide a reference for postoperative secondary nasolabial deformity classification data, late surgical correction method and selection of surgery time providing data reference. Methods The nasal labial ministry structure measurement data of 2009-2013 of children with unilateral complete cleft lip Millard postoperative 1, 3, 6 years in the Plastic Surgery of acute and Department of Stomatology of the First Affiliated Hospital of Bengbu Medical College, were retrospectively analyzed. The ages of children when operating were six months. Respectively, as in 1 year postoperative group (12 patients), 3 years postoperative group (13 patients), 6 years postoperative group (12 patients); And corresponding to select 1.5, 3.5 and 6.5 years, with the same age but no history of congenital malformation and surgery as normal group. Respectively, as in 1.5(13 patients), 3.5 (12 patients), 6.5 years old group (15 patients). Each gender was not limited. On the basis of Farkas head facial measurement content, 11 Measuring mark points, 15 observation items (11 linear observation projects, 4 perspective projects) were selected and mensured. Results Compared with the 1.5 years normal group, the width of nose columella, alar basal width, the width of nose, the height of lip, four items of lip width, nasolabial angle, nasal tip angle, the nose thickness of affected side, the affected side and healthy side of nostril width, the height of nostril, the length of ala nasi, nose lateral crura, the anterior horn of the nasal measured values differences of 1 year postoperative group had no statistical significance(all P values<0.05). Compared with the 3.5 years normal group, the width of nose columella, alar basal width, the width of nose, four items of lip width, nasolabial angle, nasal tip angle, the healthy side of nose lateral crura, the anterior horn of the nasal, the height of nostril, the affected side and healthy side of nostril width, the height of nostril, the length of ala nasi, nose lateral crura, the anterior horn of the nasal, the length of ala nasi measured values differences of 3 years postoperative group had no statistical significance(all P values<0.05). Compared with the 6.5 years normal group, the healthy side of nostril width, four items of lip width, nasolabial angle, nasal tip angle, the affected side and healthy side of nostril height, the nose thickness, nose lateral crura, the anterior horn of the nasal measured values differences of 6 years postoperative group had no statistical significance(all P values<0.05); Conclusions With the growth of unilateral complete cleft lip with Millard postoperative , the nasal labial ministry structure differences of affected children and normal children are integrally decreasing, this suggests that secondary deformity of cleft lip can automatically correcting. Appears to reducing the postoperative deformity, the healthy side of nostril width and height, four items of lip width should be corrected in advance prevention with Millard cleft lip repair method. Nasolabial angle, nasal tip angle, the healthy side of nose lateral crura, the healthy side of anterior horn of the nasal can be corrected timely according to the degree of deformity. Key words: Cleft lip; Maxillofacial abnormalities; Method of measurement