改良鼻-上颌-硬腭截骨联合鼻充填治疗Binder综合征  

Modified Nasomaxillary and Hard Palatine Osteotomy Combined Nasal Implantation for Binder's Syndrome

作　　者：王衡健[1] 袁捷[1] 张英[1] 韦敏[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011

出　　处：《组织工程与重建外科杂志》2012年第5期272-274,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探索一种新的截骨方法以纠正Binder综合征患者的中面部凹陷和鼻畸形。方法选取上海第九人民医院8例Binder综合征患者。采用改良鼻-上颌-硬腭截骨联合肋软骨充填,纠正面中部凹陷及鼻畸形。结果术后6个月随访,患者面中部及鼻突度维持正常。骨块及鼻假体固位良好,无明显吸收。定位测量结果 S-N距离增加约5 mm,SNA角度增加约10°;软组织测量面角增加约8°,鼻唇角增加约10°。鼻尖前移约1 cm。患者对术后结果均满意,无严重并发症出现。结论改良鼻-上颌-硬腭截骨联合肋软骨或鼻假体充填,可以纠正Binder综合征患者面中部凹陷畸形;同时,肋软骨隆鼻可用于纠正该综合症患者的鼻畸形,术后效果良好。Objective To explore a new alternative modified osteotomy method for correcting the midface defects of Binder＇s syndrome. Methods Eight patients with maxillo-nasal dysplasia were treated by modified naso-maxillary complex and hard palatine ＂box＂ osteotomy, combined with chondrocostal bone grafts or nasal implant to correct the retrnded nasal deformity. Results All patients were satisfied with outcome of operation without severe complications. Six-months follow-up evaluation showed good correction of the midfacial profile and nasal projection, the advancement of midface and chondrocostal bone graft was fixed perfectly. The lateral cephalometric analysis and superimposition results showed S-N distance had been increased approximately 5 mm and SNA angle increased about 10°. Soft tissue measurement showed the facial convexity angle had increased 8 o; the nasolabial angle increased about 10 °. The nasal tip had moved 10.0 mm anteriorly and 3.0 mm coronally. Conclusion Modified naso-maxillary complex and hard palatine osteotomy can be a good alternative for correction of midfacial hypoplasia and nasal deformity of Binder＇s syndrome.

关 键 词：鼻颌畸形 Binder综合征 截骨 鼻充填 肋软骨 

分 类 号：R682.11[医药卫生—骨科学]