【摘 要】
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Objective To explore a new method to repair the secondary nasal deformity of the cleft lip patients.Method 1.Use an asymmetric W shape flap on the nasal tip to expose the deformed alar cartilage and e
【机 构】
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No.1 Hospital of The Fourth Military Medical University
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Objective To explore a new method to repair the secondary nasal deformity of the cleft lip patients.Method 1.Use an asymmetric W shape flap on the nasal tip to expose the deformed alar cartilage and enlarge the contracted nostril of the affected side.2.At the same time of scar plasty,use the incision to transplant a luniform autolngous costal cartilage on the edge of piriform aperture to elevate the lateral foot of the affected alar.3.Use the asymmetric Z plasty to insert an de-epithelialized dermis sear flap under the floor the affected nostril to make it symmetry to the normal side.Result We used this combined technique and treated 60 outpatients from 2005 to 2011.The outcomes of the bilateral alars and nostrils, the length and angle of the nasal columella, height of the nasal tip and nostril floor showed satisfactory results and satisfaction rote as high as 92%.Two cases showed unsatisfied low nasal tips OP and repaired by another cartilage transplantation surgery.We also followed up 48 cases for 6 months to 1 year, no other secondary deformities showed up and no recurrence and shape-collapsed cases.Conclusion The "W" flap combined with autologous costal cartilage transplantation technique is an available and optional method to repair the secondary nasal deformity of the cleft lip patients.
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