摘要
目的：探讨单侧唇裂鼻畸形的解剖学特征及治疗方法。方法：采用经鼻小柱“V”形切口，解剖出畸形的鼻大翼软骨，根据患者鼻畸形的解剖学缺陷，采取软骨头侧切除、软骨缝合加强固定、外侧脚松解、基底组织充填等措施矫正患侧鼻畸形。结果：2005年1月-2014年12月，共收集单侧唇裂鼻畸形患者38例。年龄15～48岁，其中男20例，女18例。经开放性综合鼻整形术修复后，效果良好，患者满意。术后随访3～6个月，除2例患者外侧脚矫正不到位，鼻孔不对称。1例鼻小柱偏斜，1例患侧鼻基底偏低外，其余均满意。结论：唇裂鼻支撑结构的解剖复位是获得稳定术后效果的关键。
Objective To explore the anatomical characteristics and treatment to nasal deformity of the secondary unilateral cleft lip. Methods The nasal alar cartilage was dissected, trimmed and strengthened by the V-shaped notch of transcolumellar incision.The deformity of nose was repaired with surgery technique,such as prosthesis implantation or cartilage grafting and suspending and so on. Results From Jan 2005 to Dec 2014,38 cases of the secondary unilateral cleft lip nasal deformity were treated by open rhinoplasty.Followed up 3-6 months,34 cases had satisfying effect,only 2 cases had asymmetric nostril forms,1 case of columella skew and 1 case of lower-nose deformity. Conclusion Anatomic reduction and fix the nasal support structure is the key to obtain good postoperative effect.
出处
《中国美容医学》
CAS
2015年第23期24-26,共3页
Chinese Journal of Aesthetic Medicine
关键词
继发鼻畸形
单侧
唇裂
解剖
整复
the secondary nasal deformation
Unilateral
cleft lip
anatomy
repair
