Li W, Ling Y, Zhou G
Department of Plastic Surgery, Anzhen Hospital, Beijing 100029.
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Sep;15(5):332-5.
The aim of this work was to correct the secondary deformities of unilateral cleft lip nose.
On the basis of patho-anatomical study and the comprehension on the cleft lip nose, a new approach to correct the secondary deformities of unilateral cleft lip nose was designed and used. During operation, an intranasal and marginal combining incision was made to explore the alar cartilages and to from a mucosal-cartilage flap in the nasal vestibule. After the deformity of septal cartilage and the abnormalities of the alar base on the cleft side were repaired, the total alar cartilage was repositioned and rotated with suspension and V-Y advancement to correct the nasal deformities.
Since 1993, a total of 92 cases were treated by the above procedure and satisfactory results were obtained.
The clinical applications showed that there were several advantages for this method, and good results can be gained by repositioning the total alar cartilage on the cleft side.
本研究旨在矫正单侧唇裂鼻的继发畸形。
在病理解剖学研究及对唇裂鼻理解的基础上，设计并应用一种新的矫正单侧唇裂鼻继发畸形的方法。手术中，采用鼻内与边缘联合切口，探查鼻翼软骨并在鼻前庭形成黏膜 - 软骨瓣。修复鼻中隔软骨畸形及裂隙侧鼻翼基部异常后，将整个鼻翼软骨重新定位并通过悬吊和V - Y推进旋转以矫正鼻部畸形。
自1993年以来，共92例患者接受了上述手术，均取得满意效果。
临床应用表明该方法具有诸多优点，通过对裂隙侧整个鼻翼软骨重新定位可获得良好效果。
