摘要
目的:探讨单侧唇裂继发鼻下端畸形两侧张力平衡重建的手术方法及临床意义。方法:通过健侧降鼻中隔肌的处理及"C"形鼻中隔的纠正,重建鼻小柱两侧的肌张力及软骨弹性张力平衡;将鼻翼软骨外侧脚充分游离,解除鼻翼软骨周边组织的病理影响;用三点缝合二点高位悬吊法重塑外鼻下端软骨支架结构;最后施鼻翼外侧脚软组织的移位。结果:32例患者鼻下端形态恢复满意、持久。结论:用重建鼻下端两侧组织张力平衡的手术方法整复单侧唇裂继发鼻下端畸形,可获得可靠的治疗效果。
Objective：To reconstruct the tension balanced for secondary unilateral cleft lip inferior nasal deformities with a new procedure.Methods：Firstly,we remodeled the musculus depressor septi nasi（MDSN） and C-shaped nasal septum to reconstruct the muscular and cartilaginous tension equilibrium in the columella region.Secondly we dissociated lateral cartilages to eliminate the adverse effect from the surrounding structures.Thirdly the cartilage framework of the inferior of nose was reconstructed after freeing the lateral crus.Finally,the soft tissue of lateral crura was dislocated.Results：32 patients were satisfied with the stable correction of the inferior nasal deformities.Conclusion：The method is useful to correct the secondary unilateral cleft lip inferior nasal deformities.
出处
《口腔医学研究》
CAS
CSCD
北大核心
2011年第3期252-254,共3页
Journal of Oral Science Research
关键词
单侧唇裂
鼻下端畸形
张力平衡
Unilateral cleft lip Inferior nasal deformities Tension balanced
作者简介
胡黎萍（1960～），女，南京市人，副主任医师，主要从事口腔颌面整形外科工作
通讯作者胡勤刚．电话：（025）83620201
