Broadbent T R, Woolf R M
Ann Plast Surg. 1984 Mar;12(3):216-34. doi: 10.1097/00000637-198403000-00003.
The nasal deformity in the cleft lip patient is produced by the lower lateral cartilage being subluxed inferiorly and laterally, which falsely lengthens the nose on the cleft side. The columella is not short. It simply extends laterally to a dipped area in the rim of the nostril. The cleft lip nasal deformity is correctable at the time of primary lip repair by advancing the lower lateral cartilage superiorly and medially. The correction will last with the cartilage fixed to the upper lateral cartilage-septal junction, its normal position. A deficient repair will not improve. A good repair will last, will not interfere with growth of the nose, and will free the patient from years of unnecessary embarrassment . Correction of the cleft lip nasal deformity in the adult requires repositioning of the lower lateral cartilage similar to what can be and should be done in the infant.
唇裂患者的鼻畸形是由下外侧软骨向下和向外半脱位引起的，这会错误地延长裂侧的鼻子。鼻中隔并不短。它只是向外侧延伸到鼻孔边缘的一个凹陷区域。唇裂鼻畸形在一期唇修复时可通过将下外侧软骨向上和向内推进来矫正。随着软骨固定在上外侧软骨-鼻中隔交界处，即其正常位置，矫正效果将持久。修复不足则不会改善。良好的修复效果将持久，不会干扰鼻子的生长，还能使患者多年来免受不必要的困扰。成人唇裂鼻畸形的矫正需要重新定位下外侧软骨，这与婴儿期可以且应该进行的操作类似。
