摘要
为了比较唇裂修复的不同方法——旋转推进法和三角瓣法对鼻畸形的改善,作者以仰头位面像为分析资料,随机抽取126例在该院由同一术者行唇裂修复的单侧唇裂术后患者为样本,其中行三角瓣法68例,旋转推进法58例,术后平均复诊时间4.7年。通过测量,对比健患侧鼻翼基部、鼻底宽度、鼻小柱高度、鼻孔面积的对称情况以及鼻小柱偏斜情况,发现旋转推进法术后鼻畸形得到改善,但患侧鼻孔面积减小,使其鼻畸形二期修复更加困难;三角瓣法术后鼻畸形几乎无改善,但其造成患侧鼻孔面积过小的机会少,鼻畸形二期修复比较容易。
patientswiththesecondarynasaldeformitiesofcleftlipwerechosenatrandom,whoseprimarycorectionofcleftlipwereperformedbythesamesurgon.Ofthem,68patientsweretreatedbytriangularflapmethod,other58byrotationadvancementmethod.Ontheirphotographs,twomethodswerecomparedbymeasurementofthedistancebetweenalarbasesandmediansaggitalplane,thewidthofnostrilfloor,theheightofthecolumela,thesizesofnostrilsonbothsides,andtiltofcolumela.Thenasaldeformitieswereimprovedintherotationadvancementgroup,butthismethodtrendtoresultinasmalnostriltomakecorectionofsecondarynasaldeformitiesmoredifi-cult.Ontheotherhand,thenasaldefectswerelitleimprovedintriangularflapgroup,whereasthereweremuchlesstendencytoresultinasmalnostril.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
1996年第1期22-24,共3页
Chinese Journal of Stomatology