单侧完全性唇裂修复术同期矫正鼻畸形疗效观察

Simultaneous Lip Repair and Primary Nasal Deformity Correction in Complete Unilateral Cleft Lip

目的探讨婴幼儿单侧完全性唇裂I期修复术同期矫正鼻畸形的手术方法、可行性及其疗效。方法对5l例单侧完全性唇裂患儿采用Millard I或Ⅱ式手术方法修复唇裂，同期对其鼻畸形进行初步矫正，包括：恢复患侧鼻翼脚的水平高度，使之与健侧对称；重建患侧鼻底形态；延长患侧的鼻小柱长度；恢复患侧鼻嵴和鼻孔大小；鼻外形均得到改善。结果所有患儿均随访36～48个月，患侧鼻翼外侧脚上提内移，鼻小柱变长。所有患儿均未明昆增加术后瘢痕，随访期间均未出现患侧鼻翼发育障碍所致畸形加重。结论单侧完全性唇裂患儿均伴有较严晕的鼻畸形，在I期唇裂修复术同期矫正鼻畸形可以在不增加附加切口的情况下，获得更佳的畸形矫正疗效，患儿术后鼻部的美观和对称性可得到进一步改善，对患侧鼻部的发育未见明显影响。

Objective The purpose of this study was to determine the effects of primary simultaneous lip and nose re- pair in patients with complete unilateral cleft lip. Methods The sample consisted of fifty-one individuals （ thilly males and twenty-one females） with complete unilateral cleft lip with a mean age of eight months. A retrospective review of the fifty-one cases was conducted. We focus on the main x~）le of the priman~ surgery-correction of the nasal deformity at the same time of lip repair in infancy. The patients were followed up fi）r thinly-six months. Results All fifty-one cases showed satisfactory nas~ shapes and symmetry. The surgery did not influence subsequent growth or development of the nose in the following years. Conclusions It was demonstrated that one-staged correction of nasal deformity and unilateral complete cleft lip in i）firancy is a good procedure. It can significantly improve nasal appearance. Iamg-term assessments need to be performed to find the final outcomes.