单侧唇裂术后继发唇鼻畸形的矫治  

Management of secondary labionasal deformities after unilateral cleft lip repair

作　　者：王长慧[1] 孙娆[1] 魏翠娥[1] 

机构地区：[1]连云港市第一人民医院整形美容科,江苏连云港222002

出　　处：《中国美容医学》2007年第4期486-488,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨单侧唇裂术后继发唇鼻畸形部分手术方法的改进。方法:基于对唇裂术后唇鼻畸形病理解剖的认识。唇裂继发唇鼻畸形的二期修复包括上唇瘢痕的切除与松解,以及对上唇短曲外翻或过长,唇红、唇弓、唇珠畸形,鼻小柱、鼻中隔偏斜或短曲,鼻头低垂及鼻孔过大或偏小,鼻翼塌陷、卷曲等不同程度的畸形通过局部组织移位或填充等综合矫治的手术方法,使畸形得以纠正,使以上组织恢复正常的解剖形态。结果:自2003年1月以来,经过58例的临床实践,术后鼻底丰满,上唇人中嵴、人中凹显现,通过二期综合矫治,皆获得了满意效果。结论:通过对某些术式进行改进,提高了手术疗效,减少了畸形复发。Objective To study the improvement of some operation ways of secondary labionasal deformities after unilateral cleft lip repair. Methods It based on the understand of patho？ogy anatomise of secondary labionasal deformities after cleft lip repair.The second repair contained rectification of muffle and nasal. We resume labionasal normal anatomise by replacing and filling local tissue. Results All of the 58 patients showed nasal floor satiation,good muffle philtrum protruding and sunken shape since 2003. The results were satisfactory and stable after the second repair. Conclusion We can advance the effect and reduce recrudescence by improving some operations.

关 键 词：单侧唇裂 唇鼻畸形 二期修复 

分 类 号：R782.2[医药卫生—口腔医学]