自体鼻中隔软骨联合膨体聚四氟乙烯假体修复单侧唇裂继发鼻畸形

Autologous nasal septal cartilage combined with expanded-polytetrafluoroethylene in the secondary nasal deformity correction surgery of postoperative cleft lip

目的 探讨下唇交叉唇瓣修复上唇缺损的临床效果.方法 应用下唇交叉唇瓣修复上唇缺损,缺损在唇中份者采用Abbe唇瓣,缺损在唇侧者采用Estlander唇瓣.手术分为两期：I期行唇瓣转移术,以唇动脉为蒂旋转180°插入上唇缺损区后,按黏膜、肌层及皮肤分层缝合；Ⅱ期行断蒂术同时修复红唇.结果 26例上唇缺损患者经Abbe-Estlander唇瓣转移修复后均成活,随访3～12个月,唇部功能及外形均得到明显改善.结论 根据缺损类型,选择恰当适应证,应用Abbe-Estlander唇瓣修复上唇缺损,可明显改善上唇外形及功能,具有良好的临床效果.

Objective To correct the nasal deformities of cleft lip by expanded-polytetrafluoroe thylene （e^PTFE） combined with autologous nasal septal cartilage. Methods e-PTFE was placed nearby verge of anterior nasal aperture to raise the fundament of nose. Autologous nasal septal carti- lage was harvested and combined with e-PTFE to form a ＂sandwich＂ structure. Nasal tip and collapsed nasal alar were repaired by this method. Results Fifty cases were treated by this method and 42 cases were followed up for about one year. The results were satisfying. The contour of the nose was similar to normal. Only 3 cases were relapsed after one year. Conclusions e-PTFE combined with autologous nasal septal cartilage is an ideal method to correct nasal deformities of cleft lip.