Wang Huan, Fan Fei, You Jianjun, Wang Sheng
Plastic Surgery Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2012 Sep;23(5):1378-81. doi: 10.1097/SCS.0b013e318252fd09.
The objective of this study was to show the use and effectiveness of nasal alar rim flap on the correction of unilateral cleft lip nasal deformity.
Thirty-one patients (age range, 10-29 years; mean, 15.1 years; 14 male and 17 female patients) with unilateral cleft lip underwent rhinoplasty surgery using alar rim flap. The excessive skin of nasal alar was marked, then a skin flap was raised. This flap can be transferred medially (type 1) or laterally (type 2) to narrow the nostril or to augment the nasal sill and, of course, to correct the alar web deformity. Preoperative and postoperative photographs were measured for photogrammetric analysis in 16 patients.
The alar rim flap used in patients with unilateral cleft lip made the nostrils more symmetrical. The nostril sill was augmented with flap type 1. The alar base width was narrowed with flap type 2 (P = 0.03). The alar web deformity was corrected.
The alar rim flap could be an ideal treatment option for correction of alar web deformity in patients of unilateral cleft lip.
本研究的目的是展示鼻翼缘皮瓣在单侧唇裂鼻畸形矫正中的应用及效果。
31例单侧唇裂患者（年龄范围10 - 29岁，平均15.1岁；男性14例，女性17例）接受了使用鼻翼缘皮瓣的鼻整形手术。标记鼻翼多余的皮肤，然后掀起一个皮瓣。该皮瓣可向内（1型）或向外（2型）转移，以缩小鼻孔或增加鼻槛，当然，也用于矫正鼻翼蹼畸形。对16例患者的术前和术后照片进行测量以进行摄影测量分析。
单侧唇裂患者使用的鼻翼缘皮瓣使鼻孔更加对称。1型皮瓣增加了鼻槛。2型皮瓣使鼻翼基底宽度变窄（P = 0.03）。鼻翼蹼畸形得到矫正。
鼻翼缘皮瓣可能是矫正单侧唇裂患者鼻翼蹼畸形的理想治疗选择。
