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目的探讨单侧唇裂修复术后鼻畸形的有效手术矫治方法。方法从分析单侧唇裂鼻畸形的病理解剖入手,确定具体的矫正方法。对50例移位的组织进行完全游离及复位,通过埋没导引针将患侧鼻翼软骨悬吊于健侧的侧鼻软骨,鼻翼外侧脚内收,矫正鼻中隔偏曲,用鼻中隔软骨或耳甲软骨行患侧鼻翼软骨支架的重建,实现鼻畸形的综合矫正。结果本组50例,术后经6~12个月随访,手术瘢痕均不明显,外鼻形态持久,无变形。优者38例,良者12例,无一例差者,效果满意。结论针对引起鼻畸形的原因,从骨、软骨、软组织等多方面进行矫正,对鼻翼软骨进行松解,重新塑形,悬吊固定,辅以鼻翼基部的复位是矫治单侧唇裂术后鼻畸形的有效方法。
Objective To investigate the effective surgical treatment of nasal deformity after unilateral cleft lip repair. Methods From the analysis of pathological anatomy of unilateral cleft lip nasal deformities to determine the specific method of correction. 50 cases of displaced tissue completely free and reset, by burying the guide pin will ipsilateral alar cartilage hanging in the contralateral side of the nasal cartilage, alar lateral lateral adduction, correction of nasal septum deviation, nasal septal cartilage or concha Reconstruction of cartilaginous ipsilateral cartilage scaffold in cartilage, to achieve a comprehensive correction of nasal deformity. Results The group of 50 patients, after 6 to 12 months follow-up, surgical scar were not obvious, external nasal morphology lasting, no deformation. Excellent in 38 cases, good in 12 cases, no case of poor, satisfactory results. Conclusions Aiming at the cause of nasal deformity, the correction of nasal deformity from many aspects such as bone, cartilage and soft tissue is performed to release and reshape the alar cartilage and suspend it, Effective method.