应用鼻腔前庭皮肤成形术矫正唇裂继发鼻畸形  

Nasal Vestibule Plasty in the Treatment of Secondary Nasal Deforminities after Cleft Lip Repair

作　　者：郑清健[1] 林根辉[1] 刘加宁[1] 丁力[1] 

机构地区：[1]福建省立医院整形外科,350001

出　　处：《整形再造外科杂志》2005年第2期82-85,共4页

摘　　要：目的探讨鼻腔前庭皮肤成形术在唇裂术后继发鼻畸形矫正术中的作用。方法1999年1月～2004年3月收治的94例患者,在错位组织充分松解后,利用鼻腔前庭皮肤的旋转、推进、折叠、Z字改形,达到组织的复位塑形。术后用鼻模固定塑形3～4个月,防止术后瘢痕挛缩变形。结果患者鼻唇外形获得显著的改善,随访3～24个月,效果良好。结论鼻腔前庭皮肤成形术对唇裂术后继发鼻畸形矫正术中的鼻软骨复位,SILL抬高,鼻翼塌陷矫正,鼻翼外脚复位,均有重要作用,同时也能避免鼻外及鼻面沟处的辅助切口。Objective To evaluate the nasal vestibule plasty in the treatment of secondary nasal deformities after cleft lip repair.Methods From Jan. 1999 to Mar. 2004,94 patients were treated.The malpositioned tissue was completely released by the advancement,rotation,folding,and Z-plasty in the nasal vestibule.The repositioned tissue was reconstructed and remodeled.A nasal model was used for 3 to 4 months to avoid scar contraction.Results Marked improvememt was achieved in the appearance of nose and lip.The following-up period was 3～24 months.Conclusion The nasal vestibule plasty plays an important role in the correction of secondary nasal deformities after cleft lip repair,including restoration of malpositioned nasal cartilages and lateral crus,elevation of sill,correction of depressed alar.The additional incision at the nose and naso-facial sulcus can be also avoided.

关 键 词：鼻前庭成形术 唇裂术后鼻畸形 

分 类 号：R622[医药卫生—整形外科]