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目的:探讨单侧唇裂鼻畸形的二期有效的修复方法。方法:对先天性单侧唇裂患者进行二期手术修复,采用医用硅胶假体植入及患侧塌陷鼻翼缝合法等畸形联合手术修复。结果17例术后切口均I期愈合,无感染,无假体外露,随访6个月至1年,鼻部形态较好效果满意。结论单侧唇裂继发鼻畸形的病因复杂,采用医用硅胶假体植入联合患侧鼻翼塌陷等畸形的手术修复可有效的改善畸形。
Objective: To investigate the second-stage effective repair method of unilateral cleft lip nasal deformity. Methods: The patients with congenital unilateral cleft lip were repaired by the second phase operation. The patients were treated with the medical silicone prosthesis implantation and the nasal alar suture in the ipsilateral collapse. Results All the 17 incisions healed in the first period, without infection and without prosthesis exposure. The follow-up of 6 months to 1 year showed satisfactory nasal morphology. Conclusions The causes of secondary nasal deformities in unilateral cleft lip are complex. The surgical repairing using the medical silicone implants in combination with the collapse of the affected side of the alar may effectively improve the deformity.