摘要
目的:探讨鼻唇畸形二期修复同期行鼻中隔偏曲矫正术的手术效果。方法:鼻唇畸形二期修复时做鼻翼缘前庭合并鼻小柱切口,矫正大翼软骨、鼻肌、鼻小柱及鼻中隔的异常解剖位置,离断鼻中隔的异常附着,部分患者去除多余的鼻中隔组织,并将鼻中隔软骨末端可靠固定在正确的位置,与软组织逢合固定,或与前鼻棘等骨性组织缝合同定,同时矫正偏斜的鼻小柱等软组织,通过鼻部软、硬组织的矫正,恢复鼻的正常形态。结果:10例鼻唇畸形二期修复患者随访3个月～1a,通过手术前、后患者的外形和所测数据的比较,认为获得较满意的鼻外形。结论:鼻唇畸形二期修复同期行鼻中隔偏曲矫正术,使患者能够获得较好的鼻外形,并得到保持。
PURPOSE： To assess one-stage repair of secondary nasolabial deformity and deviation of nasal septum. METHODS： Through vestibular and columellar approach,the major alar cartilage and nasalis were repositioned to the normal anatomical positions,the deviated septum and columella were corrected by cutting the abnormal attachment of the orbicular muscle to the anterior nasal spine. RESULTS： The follow-up of 10 patients with secondary nasolabial deformity as long as one year showed satisfactory results. CONCLUSIONS： The patients who underwent one-stage repair of secondary nasolabial deformity and deviation of nasal septum have good nasal morphology. Supported by Shanghai Leading Academic Discipline Project （Grant No. Y0203）.
出处
《中国口腔颌面外科杂志》
CAS
2008年第5期379-382,共4页
China Journal of Oral and Maxillofacial Surgery
基金
上海市重点(优势)学科建设项目(Y0203)~~
关键词
鼻唇继发畸形
鼻中隔偏曲
大翼软骨
同期修复
Secondary nasolabial deformity
Nasal septum
Major alar cartilage
One-stage repair
