中隔软骨移植在单侧唇裂继发鼻畸形修复中的应用

The application of septum cartilage in correcting of the unilateral cleft lip nasal deformity

目的 探索单侧唇裂继发鼻唇畸形综合矫治的理想方法。方法 对移位的组织进行完全游离后复位 ,然后切除偏斜的中隔软骨 ,矫正中隔及鼻小柱基底偏斜畸形 ,同时利用切取的中隔软骨移植行鼻唇畸形的综合矫治。结果 1994～ 1999年共矫治 32例 ,随诊 1～ 3年 ,临床效果满意。结论 鼻中隔的切除和移植 ,有效地矫正了中隔偏斜畸形和鼻部下段畸形。移位解剖结构的完全游离及复位是单侧唇裂继发畸形修复的基础。

Objective\ To explore an ideal method for comprehensive correcting of the unilateral cleft lip nasal deformity. Methods\ The operation includes replacement of the displaced tissue, excision of the deviated septum, and correction of the deviated septum and the deformity of the lower nose. The excised nasal septum was grafted on the alar base, the nasal columella and the nasal tip. Results\ 32 patients were treated with this method from 1994 to 1999. Postoperative fellow up for 1～3 years demonstrated satisfactory results. Conclusion\ Through excision and grafting of the nasal septum, the deviated septum and the deformity of the lower nose are effectively corrected. Complete undermining and replacement of the displaced structure are the basis of correcting the cleft lip nasal deformity.\;