摘要
目的探讨一种矫正单侧唇裂继发鼻畸形的有效、可靠方法。方法对61例单侧唇裂鼻畸形患者，采用患侧鼻翼外侧脚基底部颌骨骨膜下皮质骨片贴敷移植，鼻翼软骨内侧脚间植入髂骨皮质骨片，依健侧鼻孔形态，选择鼻翼软骨截断部位和悬吊方式，重建鼻翼软骨肌肉环，术后保持3个月。结果本组61例患者随访3～24个月，56例效果稳定，5例术后出现轻度复发。结论单侧唇裂继发鼻畸形成因复杂，通过颌骨、鼻翼软骨、鼻唇肌肉组织的综合矫治，可有效地改善畸形；稳定牢固地悬吊可增强疗效稳定性、减少畸形的复发率。
Objective To explore an effective and reliable method to correct nasal deformities in unilateral cleft lip. Methods Sixty-one patients with nasal deformities in unilateral cleft lip were available for this study. Cortical bone grafting was taken to correct the nasal base; a cortical plate was inserted between the two medial crura of the alar cartilage. According to the nasal contours of non-cleft side, the alar cartilage was resected and suspended to its normal and symmetrical position. The alar cartilaginous ring was reconstruction; the nostril shape was maintained for 3 months postoperatively. Results All cases were followed up for 3 to 24 months postopera- tively. 56 cases had achieved satisfactory effects, while the other 5 cases had showed the trend to relapse. Con- clusion The cause of nasal deformities in unilateral cleft lip was complex. The study have achieved a significant improvement by synthetically correction of deformities of maxilla, cartilage and soft tissues and the restoration of nasal-labial muscles. The rigid suspension was more important to maintain the nostril contour and avoid relapse.
出处
《中国美容整形外科杂志》
CAS
2014年第6期336-338,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
单侧唇裂
鼻畸形
鼻成形术
Unilateral cleft lip
Nasal deformity
Rhinoplasty
