单侧唇裂的鼻整形术

Rhinoplasty of unilateral Cleft Lip

目的 探讨单侧唇裂鼻整形的优良手术方法。方法 采用切开患鼻鼻翼软骨与鼻侧软骨间的粘膜 ,形成软骨粘膜瓣 ,使鼻翼软骨外侧脚向上方突出、向内移位 ,以矫正鼻畸形。结果 5 2例一期鼻畸形矫正及 18例二期矫正均达到较好的手术效果。结论 此术式更接近鼻生理解剖特点 ,是一种值得提倡的手术方法。

Objective\ To investigate the technique for unilateral cleft lip nasal deformities. Methods\ Through the traditional columella margin incision, the alar cartilage and the lateral nasal cartilage were exposed. After the mucosa between the two cartilages was divided, a mucosa-cartilage flap was developed and anchored, moving the lateral crus upwardly and medially, correcting the nasal deformity. Results\ 52 cases of primary nasal deformities and 18 cases of secondary nasal deformities were corrected with this technique. Satisfactory results were achieved. Conclusion\ This technique is recommendable, which is more likely to restore the physiological characters of the nose than the conventional technique. \;