Dhooghe Nicolas S, Chong David K
Department of Plastic, Reconstructive and Aesthetic Surgery, Ghent University Hospital, Ghent, Belgium.
Plastic and Maxillofacial Surgery Department, Royal Children's Hospital, Melbourne, Australia.
Plast Reconstr Surg Glob Open. 2020 Dec 17;8(12):e3325. doi: 10.1097/GOX.0000000000003325. eCollection 2020 Dec.
Repair of a bilateral cleft lip and nose deformity remains a challenge. The nose remains the main persisting stigma for patients, deserving an equal amount of attention as the lip during the repair. We share 3 technical principles to help achieve the optimal nasolabial result and minimize cleft nose deformity after bilateral cleft lip repair. Firstly, cephalad rotation of C-flaps from the prolabium is used to define the nasolabial angle. Secondly, the nasal base and contour is set before the lip repair, as the vectors and tension of nasal repair differ from the vector and tension of the orbicularis oris muscle closure. Thirdly, different suspension and shaping stitches are used to define alar shape and position after lower lateral cartilage release, avoiding additional scars.
双侧唇裂及鼻畸形的修复仍然是一项挑战。鼻子仍是患者主要的持续存在的缺陷，在修复过程中应与唇部受到同等程度的关注。我们分享三条技术原则，以帮助在双侧唇裂修复后实现最佳的鼻唇效果，并将鼻裂畸形降至最低。首先，使用来自前唇的C瓣向上旋转来确定鼻唇角。其次，在唇部修复之前确定鼻基底和轮廓，因为鼻修复的向量和张力与口轮匝肌闭合的向量和张力不同。第三，在外侧软骨下部松解后，使用不同的悬吊和塑形缝线来确定鼻翼的形状和位置，避免额外的疤痕。
