Boulet Reid, Canallatos Jessica, Best David, Perry Robert J
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Laurence C. Wright Craniofacial Center, John R. Oishei Children's Hospital, Buffalo, New York, USA.
J Prosthodont. 2025 Apr;34(4):337-340. doi: 10.1111/jopr.14016. Epub 2025 Jan 8.
Alar webbing is a functional and aesthetic defect of the nasal structure noted in cleft lip and palate patients (CLP), which is thought to be due to a deficiency in nasal lining tissue. Surgical procedures have previously focused on the removal of lining or alar cartilage leading to worse post-operative defects. This case demonstrates a novel technique of releasing the tissue, followed by using a CAD-CAM splint to help mold the tissue during the healing process to better control esthetics, symmetry, and prevent relapse. The release of scarred tissue using a custom CAD-CAM stent is a promising technique that allows for symmetric healing and an overall aesthetic surgical result for patients.
鼻翼蹼是唇腭裂患者（CLP）中鼻结构的一种功能和美学缺陷，被认为是由于鼻内衬组织不足所致。以前的外科手术主要集中在切除内衬或鼻翼软骨，导致术后出现更严重的缺陷。本病例展示了一种新技术，即松解组织，然后在愈合过程中使用计算机辅助设计与制造（CAD-CAM）夹板来帮助塑造组织，以更好地控制美学效果、对称性并防止复发。使用定制的CAD-CAM支架松解瘢痕组织是一种有前景的技术，可为患者实现对称愈合和整体美学手术效果。
