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[旋转推进法与三角瓣法唇裂修复术后鼻畸形变化的比较]

[A comparison of the changes of the nasal deformities after cleft lip repair between rotation advancement and triangular flap repair].

作者信息

Li A, Sun Y, Wang G

机构信息

School of Stomatology, Beijing Medical University.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 1996 Jan;31(1):22-4.

PMID:9275608
Abstract

126 patients with the secondary nasal deformities of cleft lip were chosen at random, whose primary correction of cleft lip were performed by the same surgon. Of them, 68 patients were treated by triangular flap method, other 58 by rotation advancement method. On their photographs, two methods were compared by measurement of the distance between alar bases and median saggittal plane, the width of nostril floor, the height of the columella, the sizes of nostrils on both sides, and tilt of columella. The nasal deformities were improved in the rotation advancement group, but this method trend to result in a small nostril to make correction of secondary nasal deformities more difficult. On the other hand, the nasal defects were little improved in triangular flap group, whereas there were much less tendency to result in a small nostril.

摘要

随机选取126例唇裂继发鼻畸形患者,他们的唇裂一期修复由同一位外科医生完成。其中,68例采用三角瓣法治疗,另外58例采用旋转推进法治疗。在他们的照片上,通过测量鼻翼基底与正中矢状面之间的距离、鼻底宽度、鼻小柱高度、双侧鼻孔大小以及鼻小柱倾斜度,对两种方法进行比较。旋转推进组的鼻畸形有所改善,但这种方法往往会导致鼻孔变小,使继发鼻畸形的矫正更加困难。另一方面,三角瓣组的鼻缺损改善不大,而导致鼻孔变小的倾向要小得多。

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