摘要
为探讨并改进单侧唇裂术后鼻畸形的修复方法,根据 Cronin 的鼻畸形修复原则,采用鼻前庭 V-Y 推进瓣,充分游离鼻翼软骨,重置悬吊,并通过鼻翼外脚沟弧形切口,松解梨状孔外侧和上唇的牵拉,使鼻尖偏移、鼻翼扁平塌陷、鼻孔横置、鼻翼外展下垂、鼻孔基底塌陷等得以充分矫正。6年间,共修复单侧唇裂术后鼻畸形106例,通过近远期随访观察,效果满意,证明此术式是修复唇裂术后鼻畸形的良好手术方法。
To improve the corrective result for the nose deformity of cleft lip,we have used a medi- ally based advancement flap of the vestibular skin and alar cartilage in 106 patients.Satisfactory results were obtained.The key points of the procedure include completely exposing and freeing the alar carti- lage,suspension and reposition of the deformed part.An incision along the alar-facial groove on the cleft side helps to release the malposition.Through the operation,the flattened ala,the asymmetrical nostril and the web in the vestibule were all restored closely to normal.
