孙庆章, 李光早, 熊竹友, 刘建明. 单侧唇裂鼻畸形Ⅰ期矫正临床分析[J]. 蚌埠医科大学学报, 2010, 35(11): 1091-1093.
    引用本文: 孙庆章, 李光早, 熊竹友, 刘建明. 单侧唇裂鼻畸形Ⅰ期矫正临床分析[J]. 蚌埠医科大学学报, 2010, 35(11): 1091-1093.
    SUN Qing-zhang, LI Guang-zao, XIONG Zhu-you, LIU Jian-ming. One-stage correction of unilateral cleft lip and nasal deformity[J]. Journal of Bengbu Medical University, 2010, 35(11): 1091-1093.
    Citation: SUN Qing-zhang, LI Guang-zao, XIONG Zhu-you, LIU Jian-ming. One-stage correction of unilateral cleft lip and nasal deformity[J]. Journal of Bengbu Medical University, 2010, 35(11): 1091-1093.

    单侧唇裂鼻畸形Ⅰ期矫正临床分析

    One-stage correction of unilateral cleft lip and nasal deformity

    • 摘要: 目的:探讨婴儿期早期修复唇裂,同期矫正鼻畸形的效果。方法:采用Millard术式,同时经唇裂手术切口入路恢复大翼软骨、鼻肌的正常解剖位置,通过剪断口轮匝肌和鼻前棘的异位附着点纠正鼻小柱的偏斜,将患侧鼻翼软骨提到与健侧同一高度,并行贯穿褥式缝合固定。结果:共治疗26例患儿,随访6~26个月,效果满意。结论: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,该方法能消除严重的唇裂鼻畸形,并可能降低再次手术及手术难度。对于单侧唇裂鼻畸形患者而言,是值得推荐的手术方法。

       

      Abstract: Objective:To observe the outcome of early repair of cleft lip and simultaneous correction of nasal deformities.Methods:The Millard procedure was used to repair the unilateral cleft lip.The greater alar cartilage and nasalis were repositioned to the normal anatomical position through the incisions.The deviated septum and columella were corrected by cutting the abnormal attachment of the orbicularis oris muscle to the anterior nasal spine.The alar cartilage of the deformed side was upgraded to the same height of the normal side and fixed up with the mattress sutures.Results:Twenty-six infants were treated with this method.The follow-up lasted from six to fourteen months.The results were satisfactory.Conclusions:It is feasible to repair unilateral cleft lip and to correct nasal deformity simultaneously,which can reach real-time results and good long-term efficacy.This technique can eliminate the severe cleft nasal deformity,and reduce the re-operation rate and surgical difficulty.It is recommended for the treatment of unilateral cleft lip with nasal deformity.

       

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