单侧唇裂鼻畸形初期整复现状

唇裂鼻畸形是复杂的三维结构上的畸形,近半个世纪来其整复时间提前到了婴幼儿期。传统的术前正畸及新的术前鼻牙槽塑型给唇裂鼻畸形初期手术创造了良好条件。手术时运用各种盲视或直视切口、不同范围的软组织剥离、各种悬吊技术及术后的鼻模固定等使整复效果不断提高。初期整复显示了较好的美学效果,且减少了患儿的心理障碍。就现阶段单侧唇裂鼻畸形初期整复的理念及常用方法予以总结,以便探讨其发展趋势及更好地指导临床治疗。

Advances in Primary Correction of the Unilateral Cleft lip Nasal Deformity

Unilateral cleft lip nasal deformity is a complex three-dimensional malformation,the time of correction has advanced to the infant and early childhood in late half century.Traditional preoperative orthodontic treatment and newly presurgical nasoalveolar molding create favorable conditions for the primary cleft lip nasal deformity correction.All kinds of blind or open incision,different areas of soft tissue dissection,variety of suspension technology and the use of nasal molding in post-operation continuously improve the effect of the correction.Good aesthetic effects and alleviative psychological barriers in children have been reported in many literatures.In order to study the development trends and guide the clinical treatment,this article reviews the theory and the common methods in the primary correction of the unilateral cleft lip nasal deformity.