应用瘢痕组织瓣修复单侧唇裂继发鼻畸形

Using scar tissue flap to repair secondary masal deformities of unilateral cleft lip

目的 探讨上唇瘢痕组织瓣在单侧唇裂继发鼻畸形矫治术中的应用。方法 应用Millard术式原理 ,不切除上唇瘢痕 ,而是用以形成两型瘢痕组织瓣 ,用来矫治不同情况的鼻畸形。结果 1985年起应用本法共矫治单侧唇裂继发鼻畸形 5 1例 ,皮瓣全部成活 ,效果良好。结论 本法增加了可供利用的组织量 ,适用于矫治可供利用的组织量不足时的单侧唇裂继发鼻畸形。

ObjectiveTo introduce the clinical application of the upper lip scar tissue flap in correcting secondary nasal deformities of unilateral cleft lip. Methods Two types of the upper lip scar tissue flap were developed in correcting nasal deformities with Millard's technique. Results The procedure was performed on 51 patients. All the scar tissue flaps survived completely. The deformities were better corrected than before. ConclusionThe scar tissue flap has adequate blood supply. This procedure is routinely combined with other commonly used techniques to correct secondary deformities of cleft lip. It is particularly applicable for repairing the nasal deformity when usable tissue is not enough.