33例单侧唇裂术后鼻畸形伴鼻中隔偏曲同期矫正的疗效观察  

Clinical effects observation of simultaneous correction of nasal deformity with deviation of nasal septum after operation of unilateral cleft lip in 33 cases

作　　者：吕道志[1] 陈安[1] 余夏妍[1] 覃毅[1] 玉丽建[1] 

机构地区：[1]中国人民解放军第三〇三医院口腔科,南宁530021

出　　处：《重庆医学》2012年第5期435-436,共2页Chongqing medicine

基　　金：广西卫生厅自筹经费资助课题(桂卫科Z2010023)

摘　　要：目的临床观察单侧唇裂术后鼻畸形伴鼻中隔偏曲的同期矫正效果。方法对33例单侧唇裂术后鼻畸形患者采用鼻翼缘及鼻小柱飞鸟形切口入路行鼻翼软骨内侧脚上移悬吊及鼻尖弓背成形、鼻面沟、鼻翼沟形态塑造术进行鼻畸形及鼻中隔偏曲的同期矫正。结果所有病例术后鼻外形明显改善,鼻小柱居中,两侧鼻孔大小基本相等,鼻尖抬高并形成自然的弓背形态;偏曲鼻中隔软骨前端复位。结论鼻小柱及鼻翼缘飞鸟形切口入路行鼻翼软骨内侧脚上移悬吊及鼻尖弓背成形、鼻面沟、鼻翼沟形态塑造术是单侧唇裂术后鼻畸形Ⅱ期矫正有效方法;同期进行鼻中隔偏曲的矫正,对维持术后鼻部形态有重要意义。Objective To observe the clinical effects of simultaneous correction of nasal deformity with deviation of nasal septum after the operation of unilateral cleft lip.Methods 33 cases of nasal deformity after operation of unilateral cleft lip were chosen and the simultaneous corrections of nasal deformity with deviation of nasal septum were performed by moving up and mounting the medial crus of the nasal alar cartilage,shaping the nasal groove and alar groove as well as shaping the tip of nose like a arcus through the fly-bird-shaped incision of the columella nasi and nostrils′s edge.Results The nasal profiles were improved in all cases.The columella nasi was centre.The both nostrils were nearly same size.The tip of nose was raised and like a arcus naturly.The front of the nasal septum cartilage biased was reseted.Conclusion The operation of moving up and mounting the medial crus of the nasal alar cartilage,shaping the nasal groove and alar groove,as well as shaping the tip of nose like a arcus through the fly-bird-shaped incision of the columella nasi and nostrils′s edge is an effective method to correct the nose deformities after the operation of unilateral cleft lip in the second phase.Simultaneous correction of the deviation of nasal septum has significance to maintain the postoperative nasal profile.

关 键 词：唇裂 鼻畸形 鼻中隔偏曲 同期矫正 

分 类 号：R782.21[医药卫生—口腔医学]