单侧唇裂术后继发鼻畸形的矫正  

Correction of secondary nasal deformity after unilateral cleft lip surgery

作　　者：赵延峰 郭东超 郝俊 胡丽萍 Zhao Yanfeng;Guo Dongchao;Hao Jun;Hu Liping(Department of Plastic and Aesthetic Surgery,Shanghai Rose Medical Cosmetology Hospital,Shanghai 200070,China;Department of Plastic and Aesthetic Surgery,Sichuan Friendship Hospital,Chengdu 610000,China)

机构地区：[1]上海玫瑰医疗美容医院美容整形科,215011 [2]四川友谊医院整形美容科,成都610000

出　　处：《中华整形外科杂志》2021年第12期1360-1363,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探讨单侧唇裂术后继发鼻畸形的矫正方法。方法选择2017年5月至2019年10月上海玫瑰医疗美容医院收治的单侧唇裂术后继发鼻畸形患者,综合采用唇鼻肌肉张力带重建、鼻中隔偏曲矫正,自体肋软骨鼻尖软骨支架重建及下外侧软骨支撑移植等手术方法治疗唇鼻畸形。结果共纳入单侧唇裂术后继发鼻畸形患者24例,男10例,女14例,年龄17~22岁,平均20岁。患者伤口均一期愈合,无感染、延迟愈合等情况发生,鼻部对称性均得到明显改善。随访3~24个月,与术后即刻相比,均无复发情况,上唇及鼻部形态良好。结论对于唇裂术后继发鼻畸形的矫正,综合采用唇鼻肌肉张力带重建、鼻中隔偏曲矫正,自体肋软骨鼻尖软骨支架重建及下外侧软骨的加强等方法能取得相对良好的效果。Objective To discuss the correction method of secondary nasal deformity after unilateral cleft lip.Methods Patients with secondary nasal deformity after unilateral cleft lip surgery admitted to Shanghai Rose Medical Cosmetology Hospital from May 2017 to October 2019 were selected.Labial and nasal deformities were treated with surgical method,such as labial and nasal muscle tension lines reconstruction,nasal septum deviation correction,nasal tip cartilage scaffold reconstruction by using autogenous costal cartilage and lower lateral cartilage supported transplantation.Results A total of 24 patients with secondary nasal deformity after unilateral cleft lip surgery were selected,including 10 males and 14 females,aged 17-22 years old,with an average age of 20 years old.All the patients had primary wound healing,and no delayed healing occurred.After 3-24 months of follow-up,the symmetry of the nose was significantly improved.There was no recurrence in the follow-up period,and the shape of the upper lip and nose was good.Conclusions For the correction of secondary nasal deformities after cleft lip surgery,the method of labial and nasal muscle tension band reconstruction,nasal septum deviation correction,nasal tip cartilage scaffold reconstruction by using autogenous costal cartilage and lower lateral cartilage strengthening can achieve relatively good result.

关 键 词：唇裂 鼻畸形 矫正 

分 类 号：R782.21[医药卫生—口腔医学]