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唇裂鼻畸形是复杂的三维结构上的畸形,近半个世纪来其整复时间提前到了婴幼儿期。传统的术前正畸及新的术前鼻牙槽塑型给唇裂鼻畸形初期手术创造了良好条件。手术时运用各种盲视或直视切口、不同范围的软组织剥离、各种悬吊技术及术后的鼻模固定等使整复效果不断提高。初期整复显示了较好的美学效果,且减少了患儿的心理障碍。就现阶段单侧唇裂鼻畸形初期整复的理念及常用方法予以总结,以便探讨其发展趋势及更好地指导临床治疗。
Cleft lip nasal deformity is a complex three-dimensional structural deformity, nearly half a century of its recovery time early in infancy. The traditional preoperative orthodontic and new preoperative alveolar shape of the nasal deformities for the initial surgery to create a good condition. Surgery using a variety of blind or direct incision, different ranges of soft tissue dissection, a variety of suspension techniques and postoperative nasal mold fixation so that the restoration of the results continue to increase. The initial restoration shows a good aesthetic effect, and reduces the children’s psychological disorders. On the current stage of unilateral cleft lip nasal deformity initial concept and commonly used methods to be summarized in order to explore its development trend and to better guide clinical treatment.