【摘要】 为了比较唇裂修复的不同方法——旋转推进法和三角瓣法对鼻畸形的改善，作者以仰头位面像为分析资料，随机抽取１２６例在该院由同一术者行唇裂修复的单侧唇裂术后患者为样本，其中行三角瓣法６８例，旋转推进法５８例，术后平均复诊时间４．７年。通过测量，对比健患侧鼻翼基部、鼻底宽度、鼻小柱高度、鼻孔面积的对称情况以及鼻小柱偏斜情况，发现旋转推进法术后鼻畸形得到改善，但患侧鼻孔面积减小，使其鼻畸形二期修复更加困难；三角瓣法术后鼻畸形几乎无改善，但其造成患侧鼻孔面积过小的机会少，鼻畸形二期修复比较容易。更多还原

【Abstract】 patientswiththesecondarynasaldeformitiesofcleftlipwerechosenatrandom,whoseprimarycorectionofcleftlipwereperformedbythesamesurgon.Ofthem,68patientsweretreatedbytriangularflapmethod,other58byrotationadvancementmethod.Ontheirphotographs,twomethodswerecomparedbymeasurementofthedistancebetweenalarbasesandmediansaggitalplane,thewidthofnostrilfloor,theheightofthecolumela,thesizesofnostrilsonbothsides,andtiltofcolumela.Thenasaldeformitieswereimprovedintherotationadvancementgroup,butthismethodtrendtoresultinasmalnostriltomakecorectionofsecondarynasaldeformitiesmoredifi-cult.Ontheotherhand,thenasaldefectswerelitleimprovedintriangularflapgroup,whereasthereweremuchlesstendencytoresultinasmalnostril.更多还原