McComb H
Department of Plastic Surgery, Princess Margaret Hospital for Children, Perth, Western Australia.
Plast Reconstr Surg. 1990 Nov;86(5):882-9; discussion 890-3.
For 15 years a forked flap has been used for columella reconstruction in primary repair of the bilateral cleft lip nose. With the adolescent growth spurt, three unfavorable features have become apparent: (1) the columella may grow too long and the nostrils too large, (2) often the nasal tip remains broad, and (3) there is a drift of the columellar base and the lip-columellar angle is transgressed by scar. This procedure has therefore been discontinued. A new treatment plan is presented in which the columella is reconstructed from tissues in the splayed-out nasal tip.
15年来，在双侧唇裂鼻一期修复中一直使用叉状皮瓣进行鼻小柱重建。随着青春期生长突增，出现了三个不利特征：（1）鼻小柱可能生长过长，鼻孔过大；（2）鼻尖通常仍较宽；（3）鼻小柱基部移位，唇鼻小柱角被瘢痕破坏。因此，该手术已停止使用。本文提出了一种新的治疗方案，即从展开的鼻尖组织重建鼻小柱。
