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自体肋软骨联合膨化聚四氟乙烯(ePTFE)植入物修复单侧唇裂术后鼻畸形。

Autologous Costal Cartilage With Expanded Polytetrafluorethylene (ePTFE) Implants for the Treatment of Nasal Deformity After Unilateral Cleft Lip Repair.

机构信息

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.

出版信息

J Craniofac Surg. 2023;34(2):571-574. doi: 10.1097/SCS.0000000000009171. Epub 2023 Feb 6.

Abstract

OBJECTIVE

To repair and reconstruct the secondary nasal deformity after unilateral cleft lip repair, we used autologous costal cartilage and expanded polytetrafluorethylene (ePTFE) to get a better nasal shape.

METHOD

Nineteen patients with nasal deformity after unilateral cleft lip repair were treated from July 2018 to July 2021. During the operation, autologous costal cartilage was carved and formed and then implanted into the nasal tip and nasal columella, while the back of the nose was raised with ePTFE.

RESULT

Nineteen cases were followed up for 6 to 30 months. No transplanted cartilage and swelling were exposed or discharged. The appearance was good, and the patients were satisfied.

CONCLUSION

Autologous costal cartilage combined with ePTFE is an ideal treatment for nasal deformity after cleft lip repair.

摘要

目的

为了修复和重建单侧唇裂修复术后的继发性鼻畸形,我们使用自体肋软骨和膨化聚四氟乙烯(ePTFE)来获得更好的鼻外形。

方法

2018 年 7 月至 2021 年 7 月,我们对 19 例单侧唇裂修复术后鼻畸形患者进行了治疗。手术中,雕刻并形成自体肋软骨,然后将其植入鼻尖和鼻小柱,同时用 ePTFE 抬高鼻背。

结果

19 例患者随访 6 至 30 个月,无移植软骨及肿胀外露或排出,外形良好,患者满意。

结论

自体肋软骨联合 ePTFE 是修复唇裂术后鼻畸形的理想方法。

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