Faculty of Medicine, Tehran University of Medical Sciences, P.O. Box: 19395-4949, Tehran 19395, Iran.
J Pediatr Surg. 2011 Oct;46(10):E9-13. doi: 10.1016/j.jpedsurg.2011.06.026.
A 2-year-old girl was referred to our hospital because of a pulsating mass in the roof of the mouth. On examination, a mass measuring 4 × 5 cm was found in the roof of the mouth and nose with a secondary palatal cleft. She had hypertelorism, a bifid nose, and a visible cleft over the dorsum and skin of the nose. In 1 stage, the mass was opened, reduced, and repositioned into the cranial cavity, and the defect was repaired with 2 parallel bridges of split costal bone grafts. The bone grafts were placed between 2 layers of soft tissue and the mucosa repaired over it. Palatal cleft was repaired with the Veau-Wardill-Kilner method 1 year later. Fourteen years later, the bifid nose was corrected using a flying-bird incision and a costal cartilage graft for the dorsum of the nose. On follow-up, minimal scar remained on the tip of the nose. There was neither obliteration nor reduction in the size of the bony defect. There were no operative complications, and the shape of the nose improved. The patient and her parents were highly satisfied with the result.
一位 2 岁女孩因口腔顶部有搏动性肿块而被转至我院。检查发现口腔和鼻腔顶部有一个 4×5cm 的肿块，伴有继发腭裂。患儿存在双眼距过宽、鼻分叉、鼻背及皮肤可见裂隙。一期手术中，将肿块打开、缩小并重新定位到颅腔中，用 2 片并列的劈开肋骨移植物修复缺损。骨移植物置于 2 层软组织之间，其上覆盖黏膜进行修复。腭裂采用 Veau-Wardill-Kilner 法 1 年后修复。14 年后，采用飞鸟切口和肋软骨移植修复鼻背，矫正分叉鼻。随访时，鼻尖仅留有轻微瘢痕，骨性缺损无缩小或消失。无手术并发症，鼻外形改善。患者及其父母对结果非常满意。
