解剖矫正及鼻中隔软骨修复单侧唇裂继发鼻畸形  

Correction of secondary unilateral cleft lip nasal deformity by anatomical restoration and cartilage of nasal septum

作　　者：王和庚[1] 齐向东[1] 罗志军[1] 褚晶晶[1] 陈杏绮[1] 伍晓云[1] 田举[1] 

机构地区：[1]广东省中山市中山大学附属中山医院整形科,528400

出　　处：《中华医学美学美容杂志》2014年第3期193-195,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨应用解剖矫正及鼻中隔软骨修复单侧唇裂继发鼻畸形的方法及临床疗效.方法 对21例单侧唇裂继发鼻畸形患者,采用鼻小柱及双侧鼻前庭Goodman切口,佩戴2.5倍放大镜,镜下充分剥离及矫正鼻畸形错位解剖至正常位置,通过切取鼻中隔软骨,并重新搭建鼻尖的支架系统,重塑鼻外形.结果 手术分别纠正了鼻翼塌陷、鼻小柱偏斜、鼻孔不对称等问题,术后1个月、15个月随访21例,可见切口愈合良好,鼻形态改善明显,鼻小柱居中、鼻翼无塌陷、鼻孔基本对称,无明显复发,无并发症发生.结论 在鼻部解剖基础上,充分矫正鼻畸形错位解剖至正常位置,通过切取鼻中隔软骨,并重新搭建鼻尖的支架系统,重塑鼻外形,有良好的治疗效果.Objective To explore the clinical methodology and effects of correction of secondary unilateral cleft lip nasaldeformity by anatomical restoration and cartilage of nasal septum.Methods With the Goodman＇s incision in the columella and nasal vestibule,we cut out the cartilage of nasal septum and built a new support structure of tip to reshape the nasal shape after the adequate anatomical restoration under the magnifier of 2.5 times.Results The operation corrected alanasi collapse skewed columella and nostrils symmetry,etc.21 cases were treated and followed up for a month and fifteen months,showing stablized effect with columella centerno alanasi collapse,symmetric nostril and no recurrence.Conclusions On the base of nasal anatomy,a good therapeutic effect has been archeived by the adequate anatomical restoration,cutting out the cartilage of nasal septum and builting a new support structure of tip to reshape the nasal shape.

关 键 词：鼻中隔软骨 解剖矫正 唇裂继发鼻畸形 

分 类 号：R765.7[医药卫生—耳鼻咽喉科] R782.21[医药卫生—临床医学]