摘要
单侧唇裂修复后鼻畸形的矫正较为棘手,采用改良的 Bardach 法对29例进行矫正手术并获得比较满意的效果。认为手术成功的关键在于延长患侧鼻小柱和将移位的鼻翼软骨充分游离修整复位以形成端正的鼻尖。文内详细叙述了手术方法,术中注意事项,并对鼻畸形手术矫正的术前应考虑到的一些问题和改良 Bardach 法的特点进行了讨论和评价。
Twenty-nine cases of unilateral cleft lip nasal deformities were corrected with modified Bardach's technique.Overall results were satisfactory.The key to a suc- cessful and stable correction of the nasal deformity is to lengthen the columella on the cleft side and to mobilize alar cartilage from its surrounding tissue,creating a symmetric shape and length.The major advantages of the technique are lengthening of the cleft columella and creation of a symmetric and well-projected nasal tip.The surgical tech- nique is described in details.Some considerations before and during operation were dis- cussed.
