裂侧鼻翼瓣和鼻翼软骨悬吊法矫正单侧唇裂继发鼻畸形

Cleft Lip Nasal Deformity Corrected by an Alar Flap and the Alar Cartilage Sling Method

目的探讨矫正唇裂继发鼻畸形的更有效方法。方法将裂侧鼻翼较之对侧不对称的“多余”组织形成皮瓣,用于加高或再造鼻孔基底、重新调整鼻孔大小及形状。游离裂侧鼻翼软骨外侧脚并转移至正常位置固定。结果19例患者用此种方法手术后,在两侧鼻翼、鼻孔、鼻孔基底、鼻小柱等方面基本对称,取得满意效果。结论裂侧鼻翼瓣加鼻翼软骨悬吊法是一种有效矫正唇裂鼻畸形的方法。

To search an effective method to correct the secondary nasal deformity.Methods The“spilth”tissue asymmetry to the another side on the cleft side alar is formed as a flap,which is used to drive up or reconstruct the nostril base(sill),readjust nostril size and shape.The cleft side alar cartilage lateral foot is disassociated,replaced and fixed into the normal place.Results Nineteen patients were received this operation,their nasal alar,nostril,sill,on the two sides are symmetry,and the result is good.Conclustions The cleft side alar flap and alar cartilage sling procedure is effective to correct secondary cleft lip nasal deformity.