Sugihara T, Yoshida T, Igawa H H, Homma K
Department of Plastic and Reconstructive Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Cleft Palate Craniofac J. 1993 Mar;30(2):231-6. doi: 10.1597/1545-1569_1993_030_0231_pcotuc_2.3.co_2.
The details of surgical techniques for primary correction of the unilateral cleft lip nose and their results for 45 cases are reported. The technique employed an infracartilaginous incision on the affected side, thus allowing direct suturing of the alar cartilage onto the lateral cartilage. For the post-operative evaluation, the nasal form in both frontal and bottom views was scored for five items. In overall evaluation, the grades of "Good," "Fair," and "Poor" were derived from the total scores of five items. In the postoperative results (range of follow-up: 24 months to 84 months), 24 cases were rated "Good" (53.3%), 13 cases "Fair" (28.9%), and 8 cases "Poor" (17.8%). Thirty cases appear not to need secondary correction (66.6%). The technique is useful because the alar cartilages and lateral cartilages can be accurately sutured, and relatively stable results can be obtained.
本文报道了45例单侧唇裂鼻一期整复手术技术的细节及其效果。该技术在患侧采用软骨下切口，从而能够将鼻翼软骨直接缝合至外侧软骨上。术后评估时，从正面和底面观对鼻外形的五个项目进行评分。总体评估中，“优”“良”“差”等级由五个项目的总分得出。术后结果（随访时间24个月至84个月）显示，24例评为“优”（53.3%），13例“良”（28.9%），8例“差”（17.8%）。30例似乎无需二期整复（66.6%）。该技术很有用，因为鼻翼软骨和外侧软骨能够准确缝合，且可获得相对稳定的效果。
