自体肋软骨移植矫正单侧唇裂继发鼻畸形的临床效果  

Correction of secondary unilateral cleft-lip nasal deformity using autologous costal cartilage grafts

作　　者：孙诚 路会[1] 齐彦文[1] 薛志强[1] 曾高[1] Sun Cheng;Lu Hui;Qi Yanwen;Xue Zhiqiang;Zeng Gao.(Department of Plastic Surgery, China-Ja- pan Friendship Hospital, Beijing 100029, China)

机构地区：[1]中日友好医院整形外科,北京100029

出　　处：《中华医学美学美容杂志》2018年第2期111-114,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨应用自体肋软骨移植修复单侧唇裂继发鼻畸形的手术方法和疗效。方法对28例单侧唇裂继发鼻畸形患者，切取自体肋软骨，经开放式鼻小柱切口，矫正鼻中隔偏瞌，重建鼻部支架结构，肋软骨骨粉填充矫正鼻翼基底下沉畸形，并经上唇切口复位鼻唇部肌肉，恢复口轮匝肌张力平衡，改善通气功能的同时综合修复鼻畸形。结果28例患者术后鼻尖、鼻中隔、鼻翼和唇部畸形矫正效果满意，双侧鼻孔大小基本对称，鼻外形维持良好，胸壁无明显瘢痕形成，鼻腔通气功能得到改善。结论采用自体肋软骨移植，对单侧唇裂继发鼻畸形进行综合修复治疗，可以获得良好效果。Objective To explore the comprehensive approach and efficacy of secondary unilat- eral cleft rhinoplasty by using autologous costal cartilage grafts. Methods Secondary rhinoplasty was performed in 28 patients with unilateral cleft-lip nasal deformity. The costal cartilage was harvested through a mini-invasive incision. Septal deviation was corrected, and nasal tip framework was reconstructed with the autologous costal cartilage through direct transcolumellar incision. Diced cartilage fragments were used to augment the depressed alar base. Nasolabial muscles were repositioned to restore the balance of muscular tension system. Results The appearance of the nasal deformity was greatly improved in all the 28 cases postoperatively by follow-up from 3 to 12 months. Increased stability and symmetry of the nasal tip, along with the improvement of nasal breathing function was achieved and sustained effectively. Conclusions Definitive secondary unilateral cleft rhinoplasty using autologous costal cartilage grafts provides good aesthetic and functional results.

关 键 词：肋软骨移植 单侧唇裂 鼻畸形 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]