Gubisch W
Clinic for Plastic Surgery, Marienhospital, Stuttgart, Germany.
Scand J Plast Reconstr Surg Hand Surg. 1998 Sep;32(3):287-94. doi: 10.1080/02844319850158624.
The correction of a nasal deformity is a decisive step in the secondary treatment of patients with cleft lip and palate. The complex nasal deformity in these patients is caused partly by the anormaly itself and is partly a result of previous corrective surgery. Correcting the nasal deformity involves solving four complex problems: the septal deformity; the malposition of the exterior nose; the deformity of the nasal tip; and the deviation of the ala on the cleft side. The stigma of the patients with a cleft is sustained mainly by the asymmetry of the nasal entrances. Many operations, some of which cause extensive additional scarring, have been suggested for removing this typical feature in patients with clefts. We developed a triple swinging flap technique which has proved successful when used with an open as well as a closed approach. This also enables us to achieve symmetry of the nostrils.
鼻畸形的矫正对于唇腭裂患者的二期治疗而言是决定性的一步。这些患者复杂的鼻畸形部分由畸形本身所致，部分是既往矫正手术的结果。矫正鼻畸形涉及解决四个复杂问题：鼻中隔畸形、外鼻位置异常、鼻尖畸形以及裂隙侧鼻翼偏移。唇腭裂患者的缺陷主要因鼻入口不对称而持续存在。为消除唇腭裂患者的这一典型特征，人们提出了许多手术方法，其中一些会导致广泛的额外瘢痕形成。我们研发了一种三联摆动皮瓣技术，事实证明，无论是采用开放式还是封闭式手术方法，该技术都很成功。这也使我们能够实现鼻孔对称。
