Matsuo K, Hirose T
Unit of Plastic Surgery, Shinshu University Hospital, Matsumoto, Japan.
Ann Acad Med Singap. 1988 Jul;17(3):358-65.
Auricular cartilage is soft and plastic, and congenital auricular deformities are easily corrected nonsurgically in the early neonatal period. Alar cartilage is the same kind of elastic cartilage as auricular cartilage. Therefore, alar cartilage is also malleable in the early neonate. When cleft lip repair is performed around the age of three months, it is difficult to obtain good nasal shape without surgical correction. In the early neonate, there is a fair possibility for success in the nonsurgical correction of cleft lip nasal deformity. We performed cleft lip repair accompanied with nonsurgical correction of nasal deformity in 48 neonates aged two to seven days. A special retainer was placed in the affected nostril during the postoperative period for three months. In 10 cases, preoperative nonsurgical correction with a special retainer began in the early neonatal period and the lip repair was done at about three months of age. Following observation of 40 infants for 12 months or longer, their nasal shapes and symmetry were considered superior to those conventionally operated on at about three months of age without nonsurgical correction of their nasal deformity during the early neonatal period. Except for one case of nasal infection, there were no other complications.
耳廓软骨柔软且具有可塑性，先天性耳廓畸形在新生儿早期很容易通过非手术方法矫正。鼻翼软骨与耳廓软骨是同一种弹性软骨。因此，在新生儿早期鼻翼软骨也具有可塑性。当在三个月左右进行唇裂修复时，如果不进行手术矫正，很难获得良好的鼻形。在新生儿早期，非手术矫正唇裂鼻畸形有相当大的成功可能性。我们对48例年龄在2至7天的新生儿进行了唇裂修复并伴有鼻畸形的非手术矫正。术后在患侧鼻孔放置一个特殊的固定器，持续三个月。其中10例在新生儿早期开始使用特殊固定器进行术前非手术矫正，唇裂修复在大约三个月大时进行。在对40名婴儿进行了12个月或更长时间的观察后，他们的鼻形和对称性被认为优于那些在大约三个月大时常规手术且在新生儿早期未进行鼻畸形非手术矫正的婴儿。除了1例鼻部感染外，没有其他并发症。
