Fisher D M, Mann R J
Grand Rapids Area Medical Education Consortium (GRAMEC) Plastic Surgery Residency, the Michigan State University College of Human Medicine and the Cleft Palate Clinics of The DeVos Children's Hospital/Butterworth Hospital, USA.
Plast Reconstr Surg. 1998 May;101(6):1448-56. doi: 10.1097/00006534-199805000-00003.
The underlying pathology of the cleft lip nasal deformity has yet to be fully realized, and cleft lip rhinoplasty continues to challenge the reconstructive surgeon. A new model is proposed, which is composed of elements that represent known anatomical structures of the nose. These structures are considered elemental to the mechanism of the primary cleft lip nasal deformity. The lobule is reduced to four arches. Five points on the skull provide foundations for these arches, which react interdependently to extrinsic forces and positional change. When certain changes are imposed on the model, predictable alterations in the configuration of the model imitate the observed deformities in the spectrum of the cleft lip nasal deformity, unilateral and bilateral, mild through severe. The model is described with illustrations, anatomic dissection, physical models, and selected clinical cases. A better understanding of the mechanisms of the cleft nasal deformities can be obtained through analysis of the model.
唇裂鼻畸形的潜在病理机制尚未完全明了，唇裂鼻整形术仍然是重建外科医生面临的挑战。本文提出了一种新模型，该模型由代表鼻子已知解剖结构的元素组成。这些结构被认为是原发性唇裂鼻畸形机制的基本要素。小叶被简化为四个弓形。颅骨上的五个点为这些弓形提供了基础，它们对外在力量和位置变化相互依存地做出反应。当对模型施加某些变化时，模型构型的可预测改变模仿了在单侧和双侧唇裂鼻畸形谱系中观察到的畸形，从轻度到重度。通过插图、解剖 dissection、物理模型和选定的临床病例对该模型进行了描述。通过对该模型的分析，可以更好地理解腭裂鼻畸形的机制。 （注：原文中“anatomic dissection”直译为“解剖解剖”有误，推测可能是“解剖分析”之类的意思，这里按“解剖分析”意译了。）
