Trott J A, Mohan N
Australian Cranio-Facial Unit, Adelaide.
Br J Plast Surg. 1993 Apr;46(3):215-22. doi: 10.1016/0007-1226(93)90171-7.
This paper is a preliminary report on a strategy to perform open tip rhinoplasty at the time of lip repair in bilateral cleft lip and palate deformity. This method was devised to suit unique socio-economic circumstances in the Malaysian centre of Alor Setar. Of 8 cases having surgery in 1991, 7 returned for follow-up with results being documented photographically. It is concluded that this aggressive approach is justified in severe bilateral cleft lip and palate deformity because of the cost effectiveness of limiting the number of interventions. Furthermore, it provides optimally orientated nasal tip anatomy and reduces the social stigma of cleft lip nose appearance from the earliest possible time in the child's development.
本文是关于在双侧唇腭裂畸形唇修复时进行开放式鼻尖整形术策略的初步报告。该方法是为适应马来西亚亚罗士打中心独特的社会经济情况而设计的。1991年接受手术的8例患者中，7例返回进行随访，结果以照片记录。结论是，这种积极的方法在严重双侧唇腭裂畸形中是合理的，因为它限制了干预次数，具有成本效益。此外，它提供了最佳定向的鼻尖解剖结构，并从儿童发育的最早阶段就减少了唇裂鼻外观带来的社会耻辱感。
