Ujam Atheer B, Vig Navin, Nasser Nasser
University College London, Great Ormond Street Institute of Child Health, Department of Stem cells and Regenerative Medicine, 30 Guilford Street, London, WC1N 1EH, UK.
Barts and The London School of Medicine and Dentistry, Blizard Institute, London, UK.
Int J Pediatr Otorhinolaryngol. 2019 Nov;126:109593. doi: 10.1016/j.ijporl.2019.109593. Epub 2019 Jul 17.
Secondary nasal deformity in bilateral cleft lip is one of the great surgical challenges. The problems are an under projected tip, an infra-tip lobule merging with the pro-labium and a short columella. Upper lip vermillion border deformity is a further significant problem. We demonstrate our novel approach to management by classifying patients into 3 groups depending on the status of important features such as the anatomy of the prolabial skin island, length of columella and upper lip width and fullness. We demonstrate that cleft patients with nasal deformity and poor upper lip aesthetics can be managed with a single operation.
双侧唇裂继发鼻畸形是重大的外科挑战之一。问题包括鼻尖低平、鼻尖小叶与前唇融合以及鼻小柱短小。上唇红唇缘畸形是另一个重要问题。我们展示了一种新颖的治疗方法，根据前唇皮肤岛的解剖结构、鼻小柱长度以及上唇宽度和丰满度等重要特征的情况将患者分为3组。我们证明，鼻畸形且上唇美观度差的唇裂患者可通过一次手术进行治疗。
