Cao Wei, Xi Min, Zhou Fang, Feng You-Ping, Huang Li
Department of Plastic and Aesthetic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
J Huazhong Univ Sci Technolog Med Sci. 2014 Jun;34(3):387-392. doi: 10.1007/s11596-014-1288-y. Epub 2014 Jun 18.
A surgical technique of lateral crus strut graft to correct the deformity of nostril contour and improve asymmetric nostril shape by autologous rib cartilage was reported. Thirty-five patients (20 males and 15 females), with a mean age of 19 years (range of 16-26 years) were included in this study. All of the patients suffered moderate to severe unilateral cleft lip nostril deformity and underwent surgical technique of lateral crus strut graft by autologous rib cartilage to correct the asymmetric nostril contour from 2010 to 2012. The views of the nostril contour on both sides were reviewed and some parameters were measured at different time points (preoperatively, and 3 months and one year postoperatively) including the long axis and short axis of the nostrils. The differences in nostrils including long axis, short axis, elliptical area and eccentricity on the both sides were compared at different time points. The differences in the long axis and eccentricity of the nostrils on the two sides were decreased significantly between the preoperative view and postoperative view (P<0.05). The surgical technique of lateral crus graft with autologous rib cartilage is effective to correct the abnormal nostril contour and improve the asymmetry for unilateral cleft clip patients.
报道了一种采用自体肋软骨外侧脚支撑移植术来矫正鼻孔轮廓畸形并改善鼻孔不对称形状的手术技术。本研究纳入了35例患者（20例男性和15例女性），平均年龄19岁（年龄范围16 - 26岁）。所有患者均患有中重度单侧唇裂鼻孔畸形，并在2010年至2012年期间接受了自体肋软骨外侧脚支撑移植术以矫正不对称的鼻孔轮廓。回顾了两侧鼻孔轮廓的情况，并在不同时间点（术前、术后3个月和术后1年）测量了一些参数，包括鼻孔的长轴和短轴。比较了不同时间点两侧鼻孔在长轴、短轴、椭圆面积和偏心率方面的差异。术前与术后两侧鼻孔长轴和偏心率的差异显著减小（P<0.05）。自体肋软骨外侧脚移植手术技术对于矫正单侧唇裂患者的异常鼻孔轮廓和改善不对称性是有效的。
