双侧鼻孔上缘皮肤黏膜软骨瓣修复重度双侧唇裂继发鼻小柱缺损的临床效果  

Lengthening the columella of severe secondary bilateral cleft lip nasal deformity by using skin cartilaginous tissue flaps on superior border of bilateral nostril

作　　者：梁安裕 尹宁北 吴佳君[3] 

机构地区：[1]贵州利美康外科医院整形外科,贵阳550004 [2]中国医学科学院整形外科医院唇腭裂中心 [3]浙江大学医学院附属第一医院整形美容中心

出　　处：《中华医学美学美容杂志》2017年第2期118-121,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：北京市科技计划项目“首都临床特色应用研究”（Z131107002213102）

摘　　要：目的 探讨利用双侧鼻孔上缘皮肤黏膜软骨组织瓣修复重度双侧唇裂继发鼻小柱缺损畸形的临床效果.方法 对40例重度双侧唇裂术后继发鼻小柱缺损畸形的患者,采用双侧鼻孔上缘倒U形皮肤黏膜软骨组织瓣旋转推进并结合鼻翼软骨复位的方法进行修复.术后随访5～28个月,平均15.3个月.术后随访通过调查问卷评分表对手术效果进行评价.结果 40例患者均未出现感染、血肿及皮瓣坏死等并发症.术后鼻小柱明显延长,鼻尖凸度增加,鼻孔鼻翼外形改善良好,修复效果满意.随访调查问卷结果显示,36例患者认为术后效果非常好,4例认为术后效果良好.结论 利用双侧鼻孔上缘皮肤黏膜软骨组织瓣修复重度双侧唇裂继发鼻小柱缺损畸形,是一种相对简单、安全且效果良好的手术方法.Objective To introduce the method of lengthening the columella of severe secondary bilateral cleft lip nasal deformity by using skin cartilaginous tissue flaps on the superior border of bilateral nostril.Methods We adopted the method of using the skin cartilaginous tissue flaps on the superior border of bilateral nostril associated with alar cartilages reduction to lengthen the columella in 40 patients with severe secondary bilateral cleft lip nasal deformity.All patients were followed up for 5-28 months,with an average period of 15.3 months.The treatment outcomes were evaluated by a questionnaire in postoperative follow-up.Results All the 40 patients had achieved satisfactory lengthening of columella and there were no major complications.The questionnaire results showed 36 patients with excellent and 4 patients with good.Conclusions Lengthening the columella of severe secondary bilateral cleft lip nasal deformity by using skin cartilaginous tissue flaps on the superior border of bilateral nostril is a relatively simple and safe method with good effect.

关 键 词：双侧唇裂 鼻畸形 鼻小柱 鼻翼软骨 

分 类 号：R782.2[医药卫生—口腔医学]