鼻中隔软骨辅助自体肋软骨对单侧唇裂继发鼻畸形的综合矫正

Comprehensive correction of secondary unilateral cleft lip nasal deformity using autologous cartilage and supported by septum cartilage

目的探讨应用鼻中隔软骨辅助自体肋软骨综合矫正单侧唇裂继发鼻畸形的手术方法，以及术后效果。方法对18例先天性单侧唇裂鼻畸形患者采用开放式入路，充分暴露出畸形的鼻翼软骨和偏曲的鼻中隔软骨。取出部分鼻中隔软骨辅助自体肋软骨，构建成相应部位的软骨移植物，对鼻小柱、鼻尖、鼻翼和鼻背的形态进行修复重建。术后连续随访6～12个月。结果18例患者鼻外形恢复正常，伤口无明显瘢痕，无相关并发症发生。结论鼻中隔软骨辅助自体肋软骨对先天性单侧唇裂继发鼻畸形的矫正，取得了良好的效果，术后鼻部整体外观得到了明显的改变，患者及其家属对鼻外观形态较满意。

Objective To study the surgical method of comprehensive correction of secondary u- nilateral cleft lip nasal deformity using autologous cartilage and supported by septum cartilage and its outcomes. Methods Our surgery adopted an open approach, fully revealed the deformed alar cartilage and deviated nasal septum cartilage. Part of the nasal septum was removed and made it into various cartilage grafts to repair and reconstruct the columella, nasal tip, nasal alar and nasal dorsal by implanted in the corresponding positions. Results 18 patients with congenital unilateral cleft lip nasal deformity underwent the corrective and reconstructive surgery. The postoperative follow-up was 6- 12 months, showing that the malformed nasal appearance came back to normal without obvious scar. The 18 patients did not have associated complications. Conclusions The surgery with a supplementary sep- tal graft achieves good effect, the overall appearance of the malformed nose gets obvious changes, and therefore patients and their families are satisfied with the postoperative nasal shape.