[1]李希军. 单侧唇裂术后继发严重鼻畸形六步序列修复法[J].中国美容医学,2018,(03):121-124.
　LI Xi-jun. Six-Step Sequential Operation Repair for Serious Nasal Deformity in Unilateral Secondary Cleft Lip Deformitycorrection[J].Medical Aesthetics and Beauty,2018,(03):121-124.
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 单侧唇裂术后继发严重鼻畸形六步序列修复法
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年03期
页码:
121-124
栏目:
出版日期:
2018-04-10

文章信息/Info

Title:
 Six-Step Sequential Operation Repair for Serious Nasal Deformity in Unilateral Secondary Cleft Lip Deformitycorrection
文章编号:
1008-6455（2018）03-0121-04
作者:
 李希军
Author(s):
 LI Xi-jun
关键词:
 ; [关键词]唇裂继发畸形; 鼻畸形; 鼻嵴; 鼻中隔软骨; 鼻唇肌
Keywords:
 ; Key words: secondary cleft lip deformity;  nasal deformity;  nasal spin;  septal cartilage;  nasolabial muscle
分类号:
R782.2+1
文献标志码:
A
摘要:
[摘要]目的：探讨单侧唇裂术后继发严重鼻畸形的序列手术矫治方法。方法：对23例单侧唇裂术后继发严重鼻畸形的患者采
用六步序列修复法：①患侧鼻翼基底肋软骨移植，恢复双侧鼻翼基底对称高度；②重建鼻嵴矫正鼻中隔偏曲，恢复鼻头中
心支撑结构；③鼻唇肌复位，重建患侧鼻孔基底及人中，矫正鼻小柱偏斜；④患侧鼻翼软骨黏膜瓣V-Y延长,松解黏膜对鼻翼
软骨的牵拉；⑤鼻翼软骨支架重建，恢复鼻翼软骨双侧对称性；⑥患侧鼻头软三角皮肤部分切除及健侧鼻翼缩小，进一步恢
复鼻孔对称性。结果：术后23例患者随访3～12个月，患侧鼻头、鼻翼、鼻孔基底塌陷矫正，鼻小柱居中，双侧鼻孔接近对
称，患者满意。结论：矫正单侧唇裂继发严重鼻畸形要按照由鼻底到鼻尖，先恢复骨性支撑平衡,再调整软组织张力平衡的
顺序进行,六步序列修复法可以获得良好的矫治效果。

Abstract:
Abstract: Objective To discuss the sequential operations for serious nasal deformity repair in unilateral secondary cleft
lip deformity correction. Methods six-step sequential operationswere tested on 23 patients with serious nasal deformity in
unilateral cleft lip deformity operations: ①Raise the cleft side alar base with rib cartilage implant to obtain symmetry in height
of bilateral alar bases; ②Reconstruct nasal spine and reset the curved septal cartilage to restore the middle line support to
nasal tip; ③Repair the cleft side nasolabial muscle to reconstruct cleft side nostril base and philtrum ,and to correct the oblique
columella;④Extend the cleft side lower cartilage and mucous by V-Y plasty to release the mucosa’s traction for alar cartilage;
⑤Reconstruct lower cartilage support structure to regain symmetrical nasal tip;⑥Remove part of the cleft side soft triangle
skin and reduce the normal side ala to further improve nostril symmetry. Results All the cases were followed up 3-12 months
after the operations. The cleftnose,alar and the nasal opening base collapse were restored. The columella was centered. The
shape of cleft side nose tip, ala and nostril were nearly symmetric, and the patients were satisfied with the results. Conclusion
The repair of the serious nasal deformity in unilateral secondary cleft lip deformity should be operated sequentially, from
nasal base to nasal tip, from bony support balance to soft tissue tension balance. Six-step sequential operation could contribute
tosatisfactory nasal shape.

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更新日期/Last Update: 2018-06-07