唇裂术后鼻畸形整复方法的探讨

Exploration of Restitution of Nose Deformity after Cruslaterale

目的:探讨唇裂术后鼻部继发畸形整复的方法。方法:采用鼻翼软骨悬吊,内、外侧脚附着点移位,假体植入以恢复鼻部软骨正常形态结构。结果:矫正鼻翼塌陷18例,鼻小柱偏斜9例,鼻尖低平合并鼻小柱短小9例,鼻孔过大7例,均获得满意疗效。结论:从解剖学角度矫正唇裂术后继发畸形,可针对鼻部不同异常形态,灵活设计各种术式,术后效果满意。

Objective: To explore restitution ways of secondary defonnity of node after cruslaterale. Method: By suspending cartilage of ala nasi removing the points of attachment of crus mediale, laterale and implanting prosthesis the normal structure of cartilage of noae was recovered. Results: We corrected 18 cases of ala nasi tumbling, 9 columella nasi deflexion, 9 apex nasi low combined with columella nasi short and 7 justo major of nans.The effect is satisfatery. Conclusion: Operations for different kind of abnormal forms of noae are designed to correct secondary deformity after cruslaterale from anatomical angulation.The efiect is satisfatory.