髂骨片移植辅助鼻翼软骨悬吊矫正唇裂鼻畸形  

Correction of nasal deformities with ilium graft assisted with nasal alar cartilage suspension in unilateral cleft lip

作　　者：杨斌[1] 熊斌 张良[3] 

机构地区：[1]北京军区总医院第三门诊部,北京100012 [2]中国医学科学院整形外科医院整形一科 [3]北京军区总医院口腔科

出　　处：《中国美容整形外科杂志》2014年第6期336-338,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨一种矫正单侧唇裂继发鼻畸形的有效、可靠方法。方法对61例单侧唇裂鼻畸形患者，采用患侧鼻翼外侧脚基底部颌骨骨膜下皮质骨片贴敷移植，鼻翼软骨内侧脚间植入髂骨皮质骨片，依健侧鼻孔形态，选择鼻翼软骨截断部位和悬吊方式，重建鼻翼软骨肌肉环，术后保持3个月。结果本组61例患者随访3～24个月，56例效果稳定，5例术后出现轻度复发。结论单侧唇裂继发鼻畸形成因复杂，通过颌骨、鼻翼软骨、鼻唇肌肉组织的综合矫治，可有效地改善畸形；稳定牢固地悬吊可增强疗效稳定性、减少畸形的复发率。Objective To explore an effective and reliable method to correct nasal deformities in unilateral cleft lip. Methods Sixty-one patients with nasal deformities in unilateral cleft lip were available for this study. Cortical bone grafting was taken to correct the nasal base; a cortical plate was inserted between the two medial crura of the alar cartilage. According to the nasal contours of non-cleft side, the alar cartilage was resected and suspended to its normal and symmetrical position. The alar cartilaginous ring was reconstruction; the nostril shape was maintained for 3 months postoperatively. Results All cases were followed up for 3 to 24 months postopera- tively. 56 cases had achieved satisfactory effects, while the other 5 cases had showed the trend to relapse. Con- clusion The cause of nasal deformities in unilateral cleft lip was complex. The study have achieved a significant improvement by synthetically correction of deformities of maxilla, cartilage and soft tissues and the restoration of nasal-labial muscles. The rigid suspension was more important to maintain the nostril contour and avoid relapse.

关 键 词：单侧唇裂 鼻畸形 鼻成形术 

分 类 号：R622[医药卫生—整形外科]