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Radiographic Study of the Nasal Valve in Different CT Evaluation Method in Asian Patients with Unilateral Cleft Lip Nose

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  • Rhinoplasty
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Abstract

Objective(s)

It was the first study to apply and compare two CT methods to assess the validity and clinical significance of structural alterations of the nasal valve in patients with cleft lip nose for assessing nasal ventilation disturbance.

Methods

The study collected data from the NOSE score, as well as internal nasal valve area, internal nasal valve angle, external nasal valve area, and septal deviation angle, to evaluate the differences and correlations between those factors in patients with cleft lip and nose.

Results

There were significant differences among INV transverse and coronal area and INV angle on different axial standardized planes between clefted side and non-clefted side. There were statistically significant negative correlations between NOSE scores and those indicators of standard plane and acoustic-axis standardized coronal plane. NOSE score and NSD angle were the indicators of significant differences in the measured data of different complications groups (p = 0.002, p = 0.017). The correlation comparison showed that two standardized CT imaging transverse planes have similar correlations in NOSE score, NSD angle, and complications.

Conclusion

The results of the two CT evaluation methods showed that there was a significant difference in nasal valve area on the cleft and non-cleft sides, which was significantly associated with nasal ventilation disturbance. The CT evaluation method based on standard axial 3D reconstruction is more convenient to use in the clinic, can be used for pre-surgical evaluation of nasal repair in patients with secondary nasal deformities of unilateral cleft lip, and is valuable for treatment.

Level of Evidence IV

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Acknowledgments

We thank Dr. Ningyuan Liu, Department of Radiology and Nuclear Medicine, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, for his contribution to this manuscript.

Funding

This study was supported by Health Commission of Xiangya Medical Big Data of Central South University and Natural Science Foundation of Hunan Province Department (No. 2021JJ30034), the People’s Republic of China.

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Authors and Affiliations

  1. Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital, Central South University, No. 139 Renmin Middle Road, Changsha, 410011, People’s Republic of China

    Jingjing Wu, Xiancheng Wang, Yunzhu Chen, Hongli Zhao, Zhihua Qiao, Yang Sun, Xiang Xiong, Xianxi Meng, Wenbo Li, Zhongjie Yi & Weiliang Zeng

Authors
  1. Jingjing Wu
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  2. Xiancheng Wang
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  3. Yunzhu Chen
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  4. Hongli Zhao
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  5. Zhihua Qiao
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  6. Yang Sun
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  7. Xiang Xiong
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  8. Xianxi Meng
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  9. Wenbo Li
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  10. Zhongjie Yi
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  11. Weiliang Zeng
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Corresponding author

Correspondence to Xiancheng Wang.

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Conflict of interest

The authors report no financial interest to declare concerning the content of this article. The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

All procedures performed in studies involving human participants were following the Declaration of Helsinki and were approved by the Ethics Committee of the Second Xiangya Hospital, Central South University (No. 2021JJ30034). This article does not contain any studies with animals performed by any of the authors.

Human and Animal Rights

All procedures performed in studies involving human participants followed the Declaration of Helsinki and were approved by the Ethics Committee of the Second Xiangya Hospital, Central South University (No. 2021JJ30034).

Informed Consent

All patients signed informed written consent without receiving any stipend, and they were informed about study requirements according to World Medical Association Declaration of Helsinki (version 2002).

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Wu, J., Wang, X., Chen, Y. et al. Radiographic Study of the Nasal Valve in Different CT Evaluation Method in Asian Patients with Unilateral Cleft Lip Nose. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-023-03825-x

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