Cuzalina Angelo, Jung Calvin
Private Practice Tulsa Surgical Arts, 7322 East 91st Street, Tulsa, OK 74133, USA.
Private Practice, Premier Surgical Arts, 2024 Richmond Avenue, Houston, TX 77098, USA.
Oral Maxillofac Surg Clin North Am. 2016 May;28(2):189-202. doi: 10.1016/j.coms.2015.12.002. Epub 2016 Mar 5.
Septorhinoplasties in cleft patients are challenging procedures to perform for even the most experienced surgeon. Unilateral cleft rhinoplasties present a unique challenge given that the tissue bed has had previous manipulation and scarring is found around the tissue matrix, making it typically necessary to place several sturdy cartilaginous grafts to provide structural support. Rib graft provides an abundance of cartilage that can be used for multiple areas. The ability to manipulate and adjust the thickness of the cartilage strut allows for improved integrity of the graft to resist deformation and warping from the formant scar tissue.
对于即使是最有经验的外科医生来说，腭裂患者的鼻整形手术也是具有挑战性的操作。单侧腭裂鼻整形术带来了独特的挑战，因为组织床先前已经过处理，并且在组织基质周围发现有瘢痕形成，这使得通常需要放置几个坚固的软骨移植片来提供结构支撑。肋软骨移植提供了大量可用于多个部位的软骨。能够操作和调整软骨支柱的厚度可提高移植片的完整性，以抵抗来自共振瘢痕组织的变形和翘曲。
