单侧唇裂继发畸形整复术的术式改良

A modified technique for the repair of secondary defect of unilateral cleft lip

目的探讨改良术式修复单侧唇裂术后继发唇、鼻畸形的效果。方法手术切口线与口鼻轮廓线相一致，并使鼻翼外侧脚整体旋转复位，重建鼻槛及鼻底，通过鼻腔的V—Y黏软骨瓣使鼻翼软骨上推，矫正鼻畸形。结果自2000年以来，应用此方法对69例单侧唇裂继发唇、鼻畸形患者进行了修复，均取得较满意的效果，术后瘢痕线不明显。结论轮廓线切口以及鼻翼软骨上推复位的方法符合唇、鼻的解剖特征，是一种较好的手术方法。

Objective To investigate the effect of a modified technique for reparing secondary defect of unilateral cleft lip. Methods The incision line was designed along the oral-nasal contour line. The lateral crus of nasal alar were rotated and repositioned in order to reconstruct the nasal sill and base. V-Y plasty was performed with a muco-cartilage flap inside the nasal cavity to reset the alar cartilage backwards and correct the nasal deformity. Results Satisfactory results were achieved in all 69 patients with this modified technique. The pest-operative scar was inconspicuous. Conclusions This modified technique with advantages of contour line incision and alar cartilage backward re-reposition is a good option for the repair of secondary defect of unilateral cleft lip.