埋没导引缝合法治疗双侧唇裂术后继发鼻畸形36例  

Applying Buried Lead Method to Repair Secondary Nose Deformities of Bilateral Cleft Lip

作　　者：翟弘峰[1] 邱长虹[2] 张正文[1] 钟爱梅[1] 王介聪[1] 

机构地区：[1]河南省人民医院整形外科,郑州市450003 [2]郑州市第一人民医院,郑州市450000

出　　处：《医药论坛杂志》2010年第19期1-2,5,共3页Journal of Medical Forum

基　　金：河南省杰出青年科学基金资助项目(0612000800);河南省卫生厅医学科技创新人才工程基金资助项目(2002203)

摘　　要：目的探讨双侧唇裂继发畸形的解剖学修复。方法采用埋没导引缝合针缝合法,对于引起畸形的主要因素:鼻翼软骨向两侧移位,鼻降肌挛缩,口轮匝肌移位,鼻孔底瘢痕挛缩等进行彻底松解后,牢固准确地复位、固定,以恢复其正常的解剖关系。结果自2001年以来,共收治36例双侧唇裂继发畸形患者,除1例叉状皮瓣远端坏死外,余均顺利成功。随访1～2年效果满意。结论本手术不仅简单省时,而且能达到畸形的解剖学修复。Objective To correct the secondary deformities of bilateral cleft lip anatomically. Methods Having studied the cause of the secondary deformities of bilateral cleft lip, the author applies buried lead needle and buried lead method to the main causes that the alar cartilages are displaced bilaterally, the nasal lowering muscle constricts, the orbicularis oris muscle displaces and the scars in nostril bases constrict, doing thorough relaxation. Then we restore and fix them firmly and accurately to resume normal anatomic relations. Results Since 2001 we have treated 36 cases of secondary deformities of bilateral cleft lip. All the patients have good results except one whose fork flaps necrosed. Conclusion The secondary deformities of bilateral cleft lip may be treated anatomically by fork flaps and buried lead method.

关 键 词：双侧唇裂继发畸形 埋没导引缝合针 叉状皮瓣 

分 类 号：R782.2[医药卫生—口腔医学]