耳甲软骨移植修复单侧唇裂术后鼻畸形的临床研究  

Restoration of nasal deformity in unilateral cleft lip with conchal cartilage transplantation

作　　者：杨增杰[1] 陈仁吉[1] 穆玥[1] 

机构地区：[1]首都医科大学口腔医学院口腔颌面外科病房,100050

出　　处：《实用口腔医学杂志》2009年第2期234-237,共4页Journal of Practical Stomatology

摘　　要：目的:探讨耳甲软骨移植修复单侧唇裂术后鼻畸形的临床效果。方法:切取小块耳甲软骨修整折叠后植入鼻小柱内,重建外鼻下端的鼻小柱支架结构,并在鼻小柱基部及患侧鼻翼外侧基部皮下及肌肉层之间进行悬吊,同时对鼻皱褶进行"Z"改形,纠正鼻小柱和鼻翼的畸形。将手术效果分为非常满意、满意、基本满意、不满意、非常不满意5级,由患者本人、术者和另外3位頜面外科医师共同评价,结果:各项评价指标的总体满意度均在90%以上。结论:耳甲软骨移植修复单侧唇裂术后鼻畸形可以取得良好效果。Objective： To explore a good method which might be used to reconstruct the nasal deformity after unilateral complete cleft lip has been repaired. Methods： After being folded into a small column, the conchal cartilage was transplanted into nasal columella to reconstruct the frame of the nasal columella so that the nasal tip was supported strongly. Then the bilateral columella cartilages were raised to its normal and symmetrical position and then sutured to the conchal cartilage column. After that, a ＂Z＂plasty was made on the ridge of nasal mucosa under nostril on the side of the cleft. Results： A total of 44 cases were treated by the method above, and above 90% of cases were evaluated as satisfactory. Conclusion：It is a good method to reconstruct the nasal deformity by transplanting conehal cartilage into nasal columella.

关 键 词：唇裂 鼻畸形 耳甲软骨 

分 类 号：R782.21[医药卫生—口腔医学]