完全性单侧唇裂鼻唇畸形的同期修复  

One-staged correction of lip and nose deformities in complete unilateral cleft lip

作　　者：王玉新[1] 郭家妍[1] 

机构地区：[1]中国医科大学附属第一医院整形外科,沈阳110001

出　　处：《中华整形外科杂志》2011年第3期190-193,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探讨完全性单侧唇裂鼻唇畸形同期修复的时机、手术方法及围手术期的序列治疗对手术效果的影响。方法收集完全性单侧唇裂病例76例，手术年龄为3～12个月。手术方法采用鼻唇畸形同期修复方法，参考Salyer及Noordhoof法的手术原则，并根据具体情况灵活设计，配合术前、术后的序列治疗。结果完全性单侧唇裂鼻唇畸形同期修复术后随访时间为3个月至20年。总体鼻唇形态恢复满意。其中，优秀39例（51．3％），满意33例（43．4％），不满意4例（5．3％）。结论早期鼻唇畸形同期修复，配合围手术期的序列治疗，以及整形外科或颌面外科医师纯熟的手术技巧，尽最大可能减少损伤和瘢痕，会达到理想的修复效果。Objective To investigate the influence of timing, operative method and perioperative sequence treatment on the therapeutic effect of one-staged correction of lip and nose deformities in complete unilateral cleft lip. Methods Seventy-six patients with unilateral complete cleft lip, aged from 3 to 12 months, underwent one-staged correction of lip and nose deformities, based on the Salyer, Noordhoof method. Sequence treatment was performed before and after operation. Results The patients were followed up for 3 months to 20 years with excellent results in 39 cases（ 51.3% ） , good in 33 patients （43.4%） , unsatisfied in 4 patients（ 5.3% ）. Conclusions Good results can be achieved when the onestaged correction of lip and nose deformities, combined with perioperative sequence treatment, is performed. The operative technique of plastic surgeon or maxillofacial surgeon is also important for less morbidity and scar.

关 键 词：单侧完全性唇裂 鼻畸形 同期修复 

分 类 号：R782.2[医药卫生—口腔医学]