论文部分内容阅读
目的探讨在修复伴有鼻畸形的先天性唇裂时,同期一次性矫正鼻部畸形,以最大程度地减少唇裂术后继发性鼻畸形发生的手术方法。方法采用Millard术式或Millard术式+三角瓣插入法,同时利用唇裂手术切口入路恢复大翼软骨、鼻肌及鼻小柱的正常解剖位置以矫正鼻畸形。结果共修复单侧唇裂108例,术后随访1个月至3年,效果满意。结论所有单侧唇裂均伴发鼻畸形,在唇裂修复同期进行鼻畸形的矫正,可获得即刻的手术效果和较为满意的远期疗效,并可能减少再次手术及手术难度。
Objective To investigate the surgical methods for the correction of nasal deformities at the same time in order to minimize the occurrence of secondary nasal deformities after cleft lip surgery in the repair of congenital cleft lip associated with nasal deformities. Methods Millard technique or Millard technique + triangular flap method was used. At the same time, cleft lip surgery was used to restore the normal anatomy of the large wing cartilage, nasal muscle and columella to correct nasal deformity. Results A total of 108 cases of unilateral cleft lip were repaired, and the results were satisfactory after 1 month to 3 years follow-up. Conclusion All unilateral cleft lip accompanied with nasal deformity. Correction of nasal deformity during the same period of cleft lip repair can provide immediate surgical results and satisfactory long-term curative effect, and may reduce the difficulty of reoperation and operation.