自体鼻中隔软骨与多孔高密度聚乙烯鼻端种植体修复单侧唇裂继发鼻畸形的疗效比较

Comparison of therapeutic effects between auto nasal septal cartilage and Medpor nasal implants in repair of unilateral cleft lip complicated with nasal deformity

目的探索应用自体鼻中隔软骨与多孔高密度聚乙烯（Medpor）鼻端种植体修复单侧唇裂继发鼻畸形两种修复方法的疗效量化比较。方法对36例单侧唇裂鼻畸形患者，通过自体鼻中隔软骨或Medpor鼻端种植体重建鼻软骨支架，矫正畸形。采用人体测量学方法制定量化测量指标，定点测量患者术前、术后照片，对两种材料的远期效果进行客观量化分析与比较。结果36例患者，应用自体软中隔软骨矫治单侧唇裂继发鼻畸形20例，Medpor鼻端种植体矫治16例，随访6个月至2年，效果满意，均无感染及外露等并发症发生。经定量分析两种材料均有显著效果。结论两种材料在单侧唇裂继发鼻畸形的修复中都有同样的良好疗效。量化分析方法能科学而准确地评价术后远期效果。

Objective To explore the clinical methodology and comparative analysis of both au- togenous septum cartilagineum nasi or Medpor surgical implant in secondary unilateral cleft lip rhino- plasty. Methods Thirty-six patients with varied secondary nasal deformities of unilateral cleft lip were treated, autogenous septum cartilagineum nasi or Medpor surgical implant were implanted to supply the powerful supporting strength for nasal constructions. An anthropometry method based on the quantitative analysis of the characteristics of nasal deformity was used to evaluate and compare the preoperative and postoperative measure of the patients. Results After 6 to 24 months follow-up, all 36 cases received satisfactory results. 20 of them used autologous septum cartilagineum nasi to supply the powerful supporting strength for nasal construcions, and other used Medpor surgical implant. No rejection and exposure of implants were found. The postoperative quantitative measurement results supported that both of the implants could effectively correct nasal deformities. Conclusions Both of the implants could effectively correct nasal deformities of unilateral cleft lip in secondary rhinoplasties. The quantitative measurement is a scientific approach to evaluate the outcome.