单侧唇裂鼻畸形同期整复术后疗效的初步观察  

A primary study on The Effect of Simultaneous Lip and Nose Repair for Unilateral Cleft and Nasal deformity

作　　者：代晓明[1] 刘华[2,3] 李逸松[1] 王福科[4] 刘流[4] 

机构地区：[1]昆明医科大学附属口腔医院口腔外科,云南昆明650031 [2]昆明医科大学第四附属医院 [3]云南省第二人民医院口腔外科,云南昆明650021 [4]昆明医科大学第一附属医院头颈外科,云南昆明650031

出　　处：《昆明医学院学报》2012年第7期77-78,87,共3页Journal of Kunming Medical College

基　　金：云南省科技厅联合专项基金资助项目(2012CD187)

摘　　要：目的初步观察在行先天性单侧唇裂修复术同期矫正鼻畸形的临床效果.方法患者被随机分为实验组和对照组.2组均接受Millard II或改良II式唇裂修复术,实验组同时整复鼻畸形术后鼻腔内置硅胶管维持形态.术后随访,观察鼻小柱、鼻尖、鼻翼和鼻孔形态.鼻小柱居中,鼻尖抬高,鼻翼无塌陷、双侧鼻孔基本对称者为良好.结果 2007年2月至2011年3月间62例患者接受手术.患者年龄3月到3岁零11个月.男比女为33:29.实验组39例,对照组23例.平均随访14月(6个月～2年零3个月).术后效果良好者实验组28例(28/39,72%),对照组3例(3/23,13%),二者差异有统计学意义(P<0.05).结论对单侧唇裂患者同期矫正鼻畸形可取得较满意的临床效果.Objective To evaluate the effect of simultaneous lip and nose repair for unilateral cleft and Nasal deformity. Methods Patients were divided randomly into two groups. All patients accepted cleft lip repair with Millard II or improved technique. The simultaneous rhinoplasty had been fulfilled in test group. A silicon model was placed in nasal cavity to sustain appearance postoperatively. In a postsurgical interview, columella nasi without displacement, tip rising, no collapse of the ala and symmetry on the whole of bilateral nostrils were accepted as satisfactory result. Results 62 patients including 33 males and 29 females were treated between February 2007 and March 2011. Patients＇age ranged from 3 months to 3 years and llmonths. 39 patients were accepted simultaneous rhinoplasty, while 23 without nose repair simultaneously were as control. The mean follow-up period was 14 months （range, 6-27mo）. 28 cases and 3 cases with satisfactory results were obtained respectively in test and control group. There were statistic differences between them （P〈0.05）. Conclusion This technique we used is efficacious to rectify nasal deformity in unilateral cleft lip.

关 键 词：先天性单侧唇裂 鼻畸形 整复术 

分 类 号：R782.21[医药卫生—口腔医学]