婴幼儿先天性唇裂早期修复同期行鼻畸形矫正初步报告  

Early repair of congenital cleft lip with correction of nasal deformities\

作　　者：李宏生[1] 姚楚征 许翔聪 杨永熙 孙泽光 朱文平[1] 

机构地区：[1]广东汕头市第二人民医院烧伤整形科,汕头515011

出　　处：《中华整形外科杂志》2001年第1期48-50,共3页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨婴幼儿先天性唇裂早期修复 ,同期矫正鼻畸形 ,以避免唇裂术后继发鼻畸形而再次手术的可行性。方法　采用MillardⅠ式或Ⅱ式唇裂修复法修复唇裂 ,同期矫正鼻畸形 ,使移位的鼻翼软骨、鼻中隔软骨复位 ,以恢复正常的解剖关系。结果　 1998～ 1999年共矫治 30例 ,年龄 3个月至 3岁 ,单侧唇裂 2 4例 ,双侧唇裂 6例 ,随诊最长 18个月 ,效果良好。结论　唇裂患儿幼小时组织比较薄弱 ,畸形易于矫正 ,早期修复唇裂 ,同期矫正鼻畸形 ,使畸形的鼻翼软骨、鼻中隔恢复到正常的解剖学位置并在此位置上生长发育 ,鼻畸形可望明显改善。Objective\ To investigate early repair of congenital cleft lip with correction of nasal deformities at the same time so as to avoid another operation for the deformities. Methods\ Millard Ⅰ or Ⅱ of cleft lip repair was used with correction of nasal deformities at the same time,in which the displaced alar cartilage and the deviated septum were replaced to their normal anatomical position. Results\ Thirty patients aged 3 months to 3 years were treated with this method from 1998 to 1999. Among them 24 patients suffering from unilateral cleft lip,and six bilateral cleft lip.The longest time of postoperative follow\|up was 18 months.The results are excellent. Conclusions\ The tissues of cleft lip infants are feeble and the deformities are easy to correct.Repair of the displaced alar cartilage can enable the deviated septum to return to the normal anatomical position and to grow in the right place. As a result, the nasal deformity will not appear any more.\;

关 键 词：唇裂 鼻畸形 鼻翼软骨 早期修复 婴幼儿 

分 类 号：R782.2[医药卫生—口腔医学]