硬三角软骨支架植入矫正单侧唇裂术后鼻畸形

Secondary Surgical Correction of Unilateral Cleft Lip Nasal Deformities: Triangular cartilage frame procedure

目的 探讨一种纠正唇裂术后鼻畸形的新术式。方法 在回顾单侧唇裂术后鼻畸形整复术中各种软骨悬吊、移植等方法的基础上,创新性地提出了外鼻畸形的硬三角软骨支架的植入整复方法。结果 经15例临床病例的验证,该法可以较好地一次整复唇裂术后患侧鼻翼塌陷、鼻堤缺乏、鼻小柱偏斜等。结论 硬三角软骨支架植入能矫正单侧唇裂术后鼻翼塌陷畸形,术后短期效果满意。

Objective To explore a new procedure for correction of unilateral cleft lip nssal deformity. Methods A modified marginal incision was made to expose and resect the cleft side alar cartilage, then an appropriately triangular framemodel of pieces of rib was inserted into the space left by the resection and the cartilages were fixed to the surrounding tissue. Results The nasal tip, columella and alar cartilage deformities were well corrected in fifteen subjects followed up for 6 moths. Conclusion With new method, most cases achieved satisfactory results in short time.