Qing Yong, Cen Ying, Xu Xuewen, Ke Shuangchen
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Jan;28(1):85-7.
To investigate the effectiveness of double buried suture method for correction of secondary mild unilateral cleft lip nose deformity.
Between June 2010 and June 2012, 20 patients with secondary mild unilateral cleft lip nose deformity were treated with double buried suture method. Among 20 patients, 12 were male and 8 were female, with an average age of 21 years (range, 14-44 years). All patients had unilateral cleft lip nose deformity after unilateral cleft lip repair, including 9 cases of left deformity and 11 cases of right deformity. The time between first repair and double buried suture was 11-42 years (mean, 19 years).
Incisions healed by first intention, and no related complication occurred. The patients were followed up 6-12 months (mean, 8 months). All patients were satisfied with the nasal contour, symmetrical projection of the alar dome, a central columella, symmetry of nasal floor, and no obvious scar. No recurrence was observed during follow-up.
Double buried suture method not only can correct secondary mild unilateral cleft lip nose deformity completely, but also can avoid obvious scarring and recurrence of nose deformity.
探讨双重埋线法矫正继发轻度单侧唇裂鼻畸形的有效性。
2010年6月至2012年6月,采用双重埋线法治疗20例继发轻度单侧唇裂鼻畸形患者。20例患者中,男性12例,女性8例,平均年龄21岁(范围14 - 44岁)。所有患者均为单侧唇裂修复术后出现单侧唇裂鼻畸形,其中左侧畸形9例,右侧畸形11例。首次修复至双重埋线的时间为11 - 42年(平均19年)。
切口一期愈合,未发生相关并发症。对患者进行6 - 12个月(平均8个月)的随访。所有患者对鼻外形、鼻翼穹窿对称突出、鼻中隔居中、鼻底对称及无明显瘢痕均满意。随访期间未见复发。
双重埋线法不仅能完全矫正继发轻度单侧唇裂鼻畸形,还能避免明显瘢痕形成及鼻畸形复发。