自体肋软骨充填矫治唇裂术后继发鼻畸形  

Correction of secondary nasal deformity of cleft lip with autogenous costal cartilage framework

作　　者：李江[1] 郭小平[1] 王克华[1] 赵东红[1] 韩童[1] 郎育红[1] 彭黎军[1] 

机构地区：[1]济南军区总医院整形美容外科,济南250031

出　　处：《中华整形外科杂志》2013年第3期167-169,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨对单侧唇裂术后继发鼻畸形，采用自体肋软骨移植，进行支撑结构矫正和重建的新技术。方法对237例单侧唇裂术后继发鼻畸形患者，经微创切口采集肋软骨组织块，制备成c形软骨支架和软骨碎块，经开放式鼻小柱切口，于塌陷鼻翼内植入c形软骨支架，软骨碎块则充填纠正鼻翼基底下沉畸形。结果237例单侧唇裂术后继发鼻畸形，术后手术切口优良愈合，鼻尖、鼻中隔和鼻翼畸形得到理想纠正，双侧鼻孔基底部等高，鼻腔通气功能好。1年后随访93例，鼻外形良好，无明显瘢痕形成。结论采用自体肋软骨移植，对唇裂术后继发鼻畸形的硬组织畸形进行综合矫治，可以获得较理想的整形效果。Objective To investigate the correction of secondary nasal deformity of cleft lip with autogenous costal cartilage framework. Methods 237 cases with secondary nasal deformity of unilateral cleft lip were treated. The rib cartilage was harvested through a mini-invasive incision, and was fabricated as a C-shaped framework, as well as some cartilage fragments. Through transcolumella incision, the C- shaped framework was implanted to support the depressed alar and the cartilage fragments were used to augment the nasal base. Results Satisfactory cosmetic and functional results were achieved in all the patients with primary healing. 93 patients were followed up one year after operation with good cosmetic results. Conclusions Autogenous costa~ cartilage framework can be used for the correction of secondary nasal deformity of cleft lip with satisfactory results.

关 键 词：唇裂 鼻畸形 软骨移植 

分 类 号：R7[医药卫生—临床医学]