自体肋软骨支架在唇裂继发鼻畸形矫正中的应用  

Application of autologous costicartilage trestle in correction of secondary cleft lip nasal deformity

作　　者：张晖[1] 黄立[1] 吴毅平[1] 唐泓波[1] 

机构地区：[1]华中科技大学附属同济医院整形美容外科,武汉430030

出　　处：《中华医学美学美容杂志》2012年第6期430-432,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨应用自体肋软骨支架矫正唇裂继发鼻畸形的临床效果。方法64例唇裂继发鼻畸形患者，单侧51例，双侧13例，年龄16～38岁，平均21岁。其中包括鼻小柱短缩、偏斜，鼻尖低平，鼻孔不对称．鼻翼塌陷。根据鼻畸形取自体肋软骨经雕刻后，植入鼻中隔两侧与创腔前部，形成新的软骨支架，改塑鼻尖及鼻外形。结果术后切口愈合良好，供区无并发症发生。鼻外形满意，鼻小柱延长，鼻尖高度提升明显，双侧鼻孔基本对称．鼻翼塌陷改善满意。64例均获随访3个川至2年，无软骨变形、排出。结论自体肋软骨取材方便，不发乍排斥反应，将软骨支架应用于唇裂继发鼻畸形矫正，可良好改善鼻外形，尤其足鼻尖外形及高度。Objective To use autologous costicartilage trestle to correct secondary cleft lip nasal deformity, in order to obtain a nice nose. Methods A total of 64 patients were treated, including 51 unilateral and 13 bilateral cleft lip, aged 16 to 38 years ,with the average of 21 years. The deformity included cripetura columellar, flattened nasal tip, anisopleural nostril and caved nosewing. The carven costicartilage was embedded into bilateral nasal septum to form a new trestle for remodelling the shape of nose and nasal tip. Results The follow-up time was 3 months to 2 years, showing that all patients were satisfied with the outline of external nose, without infection and costicartilage rek vealed. Conclusions The autologous costicartilage is easy to collect without rejection reaction, and therefore it can be used in correcting secondary cleft lip nasal deformity with fair improvement of nasal outline, especially in nasal tip height.

关 键 词：唇裂 鼻畸形 自体肋软骨支架 

分 类 号：R782.2[医药卫生—口腔医学]