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目的:探讨单侧齿槽嵴裂植骨时对唇鼻畸形行同期整复的临床效果。方法:在齿槽嵴裂植骨的同时,对唇部畸形进行解剖功能复位,在鼻翼软骨内侧脚之间,鼻翼外侧基底部植入皮质骨,同时行鼻翼软骨悬吊,对鼻部畸形进行整复。结果:28例同期整复病例术后随访10-24个月,鼻部外观形态与健侧基本对称,鼻小柱支撑延长,鼻翼基底抬高效果稳定,鼻孔与健侧协调。结论:单侧齿槽嵴裂植骨与唇鼻畸形同期整复可取得良好的疗效,皮质骨植入对鼻畸形的矫治起到了支撑稳定作用。
Objective: To investigate the clinical effect of simultaneous correction of lip-nose deformities during unilateral alveolar cleft grafting. Methods: At the same time of alveolar cleft grafting, the deformity of the lip was reset to anatomical function. Cortical bone was implanted between medial alarus cartilage and lateral base of alarus, while nasal alar cartilage was suspended. Nasal deformity was performed Reconstruction. Results: Twenty-eight cases of reconstructive patients were followed up for 10-24 months. The morphology of the nasal parts was basically symmetrical with that of the contralateral side. The support of the columella was prolonged. The raising effect of the base of the alar was stable. The coordination between the nostrils and the contralateral side was consistent. Conclusion: The treatment of unilateral alveolar cleft grafting and lip-nose deformity can achieve good results over the same period, and cortical bone implantation plays a supporting and stabilizing role in the correction of nasal deformity.