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目的分析单侧唇裂术后鼻畸形综合矫正的临床效果。方法以25例单侧唇裂术后鼻畸形患者为研究对象,其中男性14例,女性11例;年龄12～34岁,平均年龄18.9岁。根据鼻畸形的不同程度进行鼻肌肉的解剖复位,鼻翼外侧脚悬吊,内侧脚切断移位固定,以及假体塑形后移植,纠正鼻翼和鼻小柱的畸形。结果25例病例术后外形均得到明显改善,植入假体未见明显排异反应。结论单侧唇裂术后鼻畸形的手术治疗要从软组织及鼻翼和假体植入等多方面进行矫正,才能获得更为满意的治疗效果。
Objective To analyze the clinical effect of comprehensive correction of nasal deformity after unilateral cleft lip. Methods 25 cases of unilateral cleft lip nasal deformities were studied, including 14 males and 11 females; aged 12 to 34 years, mean age 18.9 years. According to different degrees of nasal deformity nasal anatomy, nasal alar foot lateral suspension, cut off the fixed displacement of the medial side, as well as prosthesis shaping and transplantation, correct nasal alar and nasal column deformity. Results 25 cases of postoperative appearance were significantly improved, no significant rejection of implanted prosthesis. Conclusion Surgical treatment of nasal deformities after unilateral cleft lip surgery should be corrected in many aspects, such as soft tissue, nasal alar and implant, so as to obtain more satisfactory therapeutic effect.