婴儿单侧完全性唇裂鼻畸形同期整复术后发育的近期观察  

The nasal development after one-staged correction of nose deformity and unilateral complete cleft lip in infancy

作　　者：邓细河[1] 翟佳羽[1] 徐达传[2] 程宁新[3] 向宇燕[2] 熊清华[4] 王洪涛[1] 

机构地区：[1]广州医学院附属儿童医院口腔科,广州510120 [2]南方医科大学解剖教研室 [3]广东药学院第一附属医院整形科 [4]江西省人民医院整形科

出　　处：《中华整形外科杂志》2009年第2期89-92,共4页Chinese Journal of Plastic Surgery

基　　金：基金项目：广东省科委基金（99032）,广州市科委基金（99-Z.102.11）资助项目

摘　　要：目的探讨婴儿单侧完全性唇裂鼻畸形同期整复术方法，并初步观察其对鼻部发育的影响。方法对27例单侧完全性唇裂鼻畸形患儿在婴儿期行唇裂鼻畸形同期整复术，术后随访6—8年，采用人体测量学方法定量分析患者术后照片，对所定的各标志点进行测量、分析和评价。结果27例患儿中，10例鼻外形远期效果为优，良14例，差3例。结论在了解鼻部血供解剖的基础上，应用适宜的手术方法进行婴儿单侧完全性唇裂鼻畸形同期整复，对鼻部发育无明显影响，可以减轻或消除学龄前患儿的唇裂伴发鼻畸形。Objective To introduce one-staged correction of nasal deformity and unilateral complete cleft lip in infancy and to observe the nasal development after the operation. Methods The unilateral complete cleft lip and nasal deformity were corrected in one stage in 27 cases. They were followed up for several years. With post-operative photos, the anthropometric method was used to analyze the nasal development. Results The long-term results were excellent in 10 eases, good in 14 cases, and poor in 3 cases. Conclusions Based on the anatomic findings of nasal blood supply, one-staged correction of nasal deformity and unilateral complete cleft lip in infancy can be performed with no obvious interference with nasal development. The secondary nasal deformity before school age can be alleviated or avoided.

关 键 词：唇裂 鼻畸形 婴儿期 

分 类 号：R782.2[医药卫生—口腔医学] R765.9[医药卫生—临床医学]