单侧完全性唇裂鼻畸形的二期个体化整复

目的观察单侧完全性唇裂鼻畸形二期整复手术的效果。方法主要是正面六种:鼻翼软骨内侧脚上移悬吊复位术,鼻翼软骨外侧脚上提复位术,鼻翼整体旋转术,鼻小柱骨移植支撑术,鼻前庭皱褶矫治术,鼻翼外侧脚下陷矫正术,需针对患儿畸形的特点,手术方法选用上述一种或多种结合进行矫正。结果所有病例术后鼻外形有明显改善,两侧鼻孔基本对称中。结论单侧完全性唇裂鼻畸形二期整复,需针对各自畸形的特点,设计个体的矫治方法。值得一提的是,一期整复手术前后进行了正畸治疗,鼻外形基本正常,此法应该提倡。

Objective Observe the effect of the second phase operation in repariring nasal deformity in unilateral complete cleft lip. Method There are 6 kind of operations, operation of bringing up and reposition the medial alar cargtlage, operation in whole wing of nose, operation of bone graft and supporting in nasal column, operation of repairing fold in lateral nasal vestibule, operation of reposition in lateral wing of nose. We chose one or more kind operation to repair the deformity in tares of the feature of patient. Result In all patients there is rapid improvement in nasal appearance after operation. Both side of nostrils are symmetry. Conclusion In the second phase operation in repairing nasal deformity in lateral complete cleft lip, it is important to design the operational plan in turns o fpatient＇s , feature, and it is reconumended to perform orthodontic treatment before the first phase operation in order to improve the nasal apperarance.