【摘要】 目的:探讨单侧唇裂继发鼻畸形的手术治疗。方法:应用跨鼻小柱的鼻翼软骨下缘切口开放式鼻整形进行唇裂继发鼻畸形矫正,鼻小柱侧缘切口继续向下延伸至鼻小柱基底,将鼻小柱基部皮肤向下翻开,充分松解和暴露鼻翼软骨,矫正中隔畸形,将鼻翼软骨向前上内侧复位,与健侧鼻翼软骨、鼻背侧软骨缝合固定,必要时进行切取鼻中隔软骨移植以抬高鼻尖以及加强鼻穹窿。结果:应用本方法治疗单侧唇裂继发鼻畸形47例,单纯进行鼻畸形矫正者11例,同时行唇畸形整形者36例,效果满意,其中有32例进行了6～24个月的随访,平均随访时间为11个月,鼻外形良好。结论:应用开放式鼻整形技术进行唇裂继发鼻畸形矫正,可在直视下充分松解并显露鼻翼软骨,准确复位及缝合固定,术后效果稳定,切口无明显瘢痕。更多还原

【Abstract】 Objective To investigate a procedure for correction of the secondary deformity of unilateral cleft lip nose.Methods The deformity of the cleft lip nose was corrected by open rhinoplasty procedures.Restoration of the alar cartilage can be easily achieved through cross columella incision of open nasal plasty procedures.The incision of para-columella can be extended to columella base for more convenience of exposure and division and restoration of the alar cartilage.Then,the cleft side alar cartilage was sutured to that of non cleft side and upper lateral cartilages.Septal cartilage grafts may be necessary in case of correction of deviation of septum and low tip deformities.Results Since Jul.2007 to Jul.2010,47 noses of unilateral cleft lip were treated by open rhinoplasy procedure with all satisfactory results,32 cases of whom had been followed up for 6～24 months showed no complications.Conclusion Open rhinoplasty is an ideal procedure for correction the cleft lip nasal deformities because of its more convenient manipulation under naked eyes,more satisfied results and non evident scars.更多还原