用于矫正单侧唇裂继发鼻畸形的鼻尖“W形”皮瓣
["W-shape" flap at nasal tip for the correction of the nasal deformity secondary to unilateral cleft lip].
作者信息
Lu Bing-lun, Yang Yang, Yue Bo, Guo Shu-zhong
机构信息
Institute of Plastic Surgery of Xijing Hospital, Fourth Military Medical University of People's Liberation Army, Xi'an 710032, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 Jul;27(4):260-2.
OBJECTIVE
To investigate an effective method for the correction of the narrow nostril secondary to cleft lip.
METHODS
A "bird wing shape" incision was made on the nasal tip to form a "W-shape" flap for repairing the nasal deformities secondary to cleft lip, especially for the cases with narrow nostril.
RESULTS
Twenty-eight patients were treated with this method. All the cases achieved a symmetry shape of nasal ala, nostril, nasal columella and a normal height of nasal tip except for 2 cases with malformation at nasal tip who achieved improvement after reoperation. 21 cases were followed up for 6-12 months with good cosmetic result and no recurrence.
CONCLUSIONS
"W-shape" flap at the nasal tip is an ideal way for the correction of mild to moderate narrow nostril deformity secondary to cleft lip.
目的
探讨一种矫正唇裂继发鼻孔狭窄的有效方法。
方法
在鼻尖做“鸟翼形”切口，形成“W形”皮瓣，用于修复唇裂继发的鼻畸形，尤其适用于鼻孔狭窄的病例。
结果
28例患者采用该方法治疗。除2例鼻尖畸形患者经再次手术改善外，所有病例均实现鼻翼、鼻孔、鼻小柱对称，鼻尖高度正常。21例患者随访6 - 12个月，美容效果良好，无复发。
结论
鼻尖“W形”皮瓣是矫正唇裂继发轻至中度鼻孔狭窄畸形的理想方法。
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