单侧完全性唇裂术后鼻唇畸形的修复  

Repair of nasal deformities secondary to the surgery for unilateral complete cleft lip

作　　者：王成毅[1] 王丽琼[1] 张敬德[2] 

机构地区：[1]巴彦淖尔市医院医学美容科,内蒙古巴彦淖尔015000 [2]上海长海医院整形科

出　　处：《中国美容医学》2010年第7期991-993,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:介绍一种综合术式一次性整复单侧完全性唇裂术后鼻唇畸形的方法。方法:采用一针法鼻小柱鼻翼脚复位固定,以缩窄和平齐鼻底;利用埋没导引针修复鼻翼软骨复位,改善鼻孔形状;带侧翼鼻假体隆鼻突出鼻部和加高鼻翼;上唇M瓣成形修整唇红缘重建唇弓;两红唇瓣覆盖修复红唇部等。结果:单侧完全性唇裂术后继发鼻唇畸形32例,随访20例6个月～2年,外观和效果满意。结论:应用埋线法修复鼻小柱、鼻翼脚、鼻翼软骨复位,M成形术和两红唇瓣覆盖修复红唇部等术式是值得推荐的一次性整体修复继发鼻唇畸形的方法。Objective This paper aims to report a comprehensive surgical method to one time repair nasal and labial deformity secondary to operation for unilateral complete cleft lip.Methods To narrow and level nasal base,nasal columella and the foot of nasal ala were repositioned and fixed with one stitch method;To improve nostril shape,nasal alar cartilage was repaired and reset with the help of buried guiding needle;Rhinoplasty using nasal implant with lateral wings was performed to highlight nasal shape and to elevate nasal ala;M flap in the upper lip could restore vermilion edge and labial arch;Two vermilion flaps were adopted to cover and repair vermilion.Results Among total 32 cases of nasal deformity secondary to operation for unilateral complete cleft lip,20 cases have got satisfied appearance and effects upon follow-ups lasting 6 months to 2 years.Conclusion Buried thread method,which could be adopted to repair and reset nasal columella,the foot of nasal ala and nasal alar cartilage,＂M＂ reshaping and two vermilion flaps,for covering and restoring vermilion,are recommended for one time complete repair of secondary nasal and labial deformity.

关 键 词：鼻畸形 获得性 唇裂 并发症 

分 类 号：R782[医药卫生—口腔医学]