Balaji S M
Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, India.
Scand J Plast Reconstr Surg Hand Surg. 2003;37(6):332-8. doi: 10.1080/02844310310005379.
Correction of one of the abnormal features is never enough to alleviate the entire deformity in a patient with a unilateral cleft lip and deformed nose, because the factors that led to the nasal deformity have already produced changes in the lower lateral cartilage, nostril, columella, septum, and alar base. These changes should be treated together with the contributory factors. By restoring the balance of the muscles by primary repair of the lip, orthodontic treatment, and orthognathic surgery, a more symmetric skeletal base can be established. The method of repair of the lip will also influence the deformity. Bone grafting can augment the skeletal base, but it will not improve the position of the lower lateral cartilage or the deviated septum. In this paper we describe a single stage correction of all the irregularities of the nose in patients with unilateral clefts which alleviates the asymmetrical nasal deformity.
对于单侧唇裂合并鼻畸形的患者，纠正其中一项异常特征永远不足以减轻整个畸形，因为导致鼻畸形的因素已经使下外侧软骨、鼻孔、鼻小柱、鼻中隔和鼻翼基部发生了改变。这些改变应与促成因素一并治疗。通过唇裂一期修复、正畸治疗和正颌手术恢复肌肉平衡，可以建立更对称的骨骼基础。唇裂修复方法也会影响畸形情况。骨移植可以增加骨骼基础，但不会改善下外侧软骨的位置或偏斜的鼻中隔。在本文中，我们描述了一种对单侧唇裂患者鼻子所有不规则之处进行单阶段矫正的方法，该方法可减轻不对称鼻畸形。
