鼻尖双峰皮瓣矫正单侧唇裂术后继发鼻畸形

＂W-shape＂ flap at nasal tip for the correction of the nasal deformity secondary to unilateral cleft lip

目的 探讨鼻尖双峰皮瓣矫正单侧唇裂术后继发鼻孔狭小畸形的有效方法.方法 采用鼻部飞鸟形切口,将鼻尖部皮瓣逆行切开,形成双峰皮瓣,用于矫正唇裂术后继发鼻畸形.结果 2005至2009年为28例患者采用上述方法修复后,双侧鼻翼、鼻孔大小、鼻小柱的长度及位置、鼻尖的高度及鼻门槛等基本对称,满意率为93%（26/28）,2例因仰鼻术后鼻尖形态不佳,经加高处理后改善.21例术后获6～12个月随访,效果良好,无复发,维持术后形态.结论 鼻尖双峰皮瓣是矫正唇裂术后继发鼻畸形,尤其是鼻孔中、轻度狭小畸形的较理想方法.

Objective To investigate an effective method for the correction of the narrow nostril secondary to cleft lip. Methods A＂bird wing shape＂ incision was made on the nasal tip to form a＂W- shape＂ flap for repairing the nasal deformities secondary to cleft lip, especially for the cases with narrow nostril. Results Twenty-eight patients were treated with this method. All the cases achieved a symmetry shape of nasal ala, nostril, nasal columella and a normal height of nasal tip except for 2 cases with malformation at nasal tip who achieved improvement after reoperation. 21 cases were followed up for 6-12 months with good cosmetic result and no recurrence. Conclusions ＂W-shape＂ flap at the nasal tip is an ideal way for the correction of mild to moderate narrow nostril deformity secondary to cleft lip.