摘要
目的 利用双侧唇裂修复时前唇贮存于鼻底两个三角瓣 ,和冷冻同种异体胎儿软骨移植 ,二期矫正双侧唇裂术后鼻畸形。方法 用贮存于鼻底两个三角瓣延长鼻小柱 ,双侧鼻翼软骨完全游离 ,同时将冷冻同种异体胎儿软骨修整后移植固定在鼻小柱处。结果 本组共施术 30例 ,切口均一期愈合 ,经 0 5～ 5年随访观察 ,术后效果满意 ,未见移植胎儿软骨发生排斥反应及吸收现象 ,鼻发育也未见影响。结论 利用贮存鼻底双三角瓣延长鼻小柱 ,完全游离双侧鼻翼软骨 ,和冷冻同种异体胎儿软骨移植二期矫正双侧唇裂鼻小柱过短 ,鼻尖及鼻翼低平 ,效果肯定。
Objective To correct nasal deformity after operation of bilateral cleft lip by nasifundus bilateral triangular flaps of anteriouns labium stockpiled during repair of bilateral cleft lip and freeaing homigenic variant foetus cartilage grafting at second stage Methods Nasicolumella was prolonged with two triangular flaps stockpiled at nasal fundus, Bilateral alarcartilages were completely dissected Freezing homogehic variant foetus cartiage was shaped Inserted into nasicolumella and fixed in possition Results All cases of this group (30 cases) healed by first intertion After clinical observation and following visition through 0.5 ～5 years, operative effect was satisfied, without immunoreaction and absorptior Interference to growth of nose did not appear Conclusion It was postively effective to correct short columella, low nasal lip and alae at second stage by nasifundus bilateral triangular flaps and freezing homogenic variant foetus cartilage grafting Problem concerned during or after operation was discussed
出处
《临床军医杂志》
CAS
2002年第5期19-21,共3页
Clinical Journal of Medical Officers
关键词
双侧唇裂
鼻底双三角瓣
同种异体胎儿软骨移植
鼻畸形
矫正术
bilateral cleft
nasifundus bilateral triangular flaps
homogernic variant foetus cartilage grafting
correction of nasal deformity
