Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.
Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.
J Craniomaxillofac Surg. 2020 Jan;48(1):83-89. doi: 10.1016/j.jcms.2019.12.004. Epub 2019 Dec 11.
Correction of cleft lip-nose deformity in adult patients is different from that in children. One-stage correction has proved to be a suitable technique for patients with cleft-lip nose deformity. This study aimed to explore a particular single-stage method and evaluate the effect of simultaneous reparation of secondary unilateral cleft lip-nose deformities. Cleft lip patients who had previously undergone nasolabial surgery with residual poor nasal/lip appearance were included. The alveolar bone defect was repaired with granular costal cortical bone. Lip revision and rhinoplasty were performed using diced costal cartilage. The lip, nose, and alveolar deformities were corrected in one stage. From 2011 to 2017, 53 cases were treated. The vermilion discrepancy was corrected in all cases. Fifty-one patients were successfully treated, with primary healing in the bony recipient area. Cancellous bone exposure occurred in two cases. The wounds were healed after debridement and drainage. Appearances were improved in all patients. The mean change in columella-labial angle ranged from 82.50 to 92.78° (p < 0.001). This one-stage correction appears to have led to a distinct improvement in the nasal tip projection and lip. The method is considered to be effective and reliable in patients with secondary unilateral cleft lip-nose deformities.
成人唇裂鼻畸形的矫正与儿童不同。一期矫正已被证明是唇裂鼻畸形患者的一种合适技术。本研究旨在探讨一种特殊的单阶段方法，并评估同期修复继发单侧唇裂鼻畸形的效果。纳入了先前接受过鼻唇整复术但仍存在鼻唇外观不佳的唇裂患者。用颗粒状肋软骨皮质骨修复牙槽骨缺损。用块状肋软骨进行唇修复和鼻整形术。一期矫正唇、鼻和牙槽骨畸形。2011 年至 2017 年，共治疗 53 例患者。所有病例的红唇均得到矫正。51 例患者成功治疗，骨受区一期愈合。2 例发生松质骨外露，经清创引流后愈合。所有患者的外观均得到改善。鼻中隔-唇角的平均变化范围为 82.50°至 92.78°（p<0.001）。一期矫正术明显改善了鼻尖突出度和唇形。该方法在继发单侧唇裂鼻畸形患者中被认为是有效且可靠的。
