鼻唇沟皮瓣联合对侧鼻翼沟皮瓣修复Tessier 3号面裂鼻畸形的疗效

Clinical efficacy of nasolabial groove flap/offside ala nasi groove flap on nasal deformity of Tessier 3 cleft

目的探讨Tessier 3号面裂鼻翼畸形的修复方法及疗效。方法2010年6月至2015年6月,中国医学科学院整形外科医院整形外科收治5例Tessier 3号单侧面裂患者。根据患者局部软组织缺损情况,分别采用鼻唇沟皮瓣及鼻唇沟皮瓣联合对侧鼻翼沟皮瓣的方法矫正鼻翼畸形。结果2例患者采用单纯鼻唇沟皮瓣治疗,3例采用鼻唇沟皮瓣联合对侧鼻翼沟皮瓣治疗。手术后,患侧鼻翼均下降至与对侧相对应的位置,皮瓣均成活良好,未出现血运障碍。随访1年,皮瓣颜色、质地均接近鼻翼组织,手术瘢痕隐蔽元继发畸形,效果满意。结论单纯鼻唇沟皮瓣或鼻唇沟皮瓣联合对侧鼻翼沟皮瓣修复鼻翼缺损,手术操作简单、切口瘢痕隐蔽、可同时缩小鼻翼,修复Tessier 3号面裂鼻畸形效果满意。

Objective To find a method to repair nasal deformity of Tessier 3 cleft.Methods Five Tessier 3 cleft patients were treated from June 2010 to June 2015 in our department.Nasolabial groove flap or nasolabial groove flap accompanied by offside ala nasi groove flap were performed to correct the nasal deformity according to the defect of the ala.Results Two cases were treated with simple nasolabial groove glap,and 3 cases were treated with nasolabial groove flap accompanied by offside ala nasi groove flap.All the flaps survived with incisions of donor sites healed primarily.The color,texture and thickness of the flaps were similar to those of recipient sites after 1 year follow up. The scar in donor site was concealed and not obvious.The results showed good healing and good appearance,and the symmetry between the nostrils also seemed to be acceptable.Conclusions Nasolabial groove flap and nasolabial groove flap accompanied by offside ala nasi groove flap are good methods to correct nasal deformity of Tessier 3 cleft.The offside ala can be reduced at the same time and the symmetry between the nostrils can be achieved more easily.The operation is easily performed,the scar is acceptable and the results are good.