鼻黏膜软骨瓣Z成形术修复单侧唇裂继发严重鼻畸形

Application of Z-form plasty with a nasal mucous membrane and alar cartilage flap to repair severe secondary nasal deformity after cleft lip operation

目的探讨一种单侧完全性唇裂继发严重鼻畸形的修复方法。方法根据健侧鼻翼饱满度，于患侧鼻翼凹陷区做Z成形术设计，形成上下两鼻翼黏软骨瓣，通过交错换位，整体延长了短缩的患侧鼻翼软骨瓣的长度，再将重组的患侧鼻翼与健侧悬吊，恢复患侧鼻翼正常的解剖形态，以达到鼻畸形修复的目的。结果12例单侧唇裂继发严重鼻畸形的患者术后两侧鼻翼饱满、对称，两侧鼻孔形态接近，外形满意。结论患侧鼻翼黏膜软骨瓣Z成形术，对于修复严重的单侧完全性唇裂继发鼻畸形是一种良好的术式选择。

Objective To investigate a repair method for unilateral complete cleft lip nasal deformities. Methods Based on the fullness of healthy nasal wing, Z-form plasty was designed with a nasal mucous membrane and alar cartilage flap, to prolong its curtate length of the deformed side through overlapping transposition, and then with suspension of the custom-crafted nasal wing to replace its abnormal structure, subsequently, to recover the normal anatomic structure of the nosewing, and to get the nasal deformity re- paired. Results A total of 12 patients with the severe nasal deformity were treated by this method, and all had satisfactory results. Conclusion This technique is a good choice for repairing the severe secondary nasal deformity after single complete cleft lip operation.