应用"L"型硅胶假体与膨体聚四氟乙烯补片修复单侧唇裂鼻畸形17例报道

目的:探讨应用“L”型硅胶假体与膨体聚四氟乙烯(ePTFE)补片修复单侧唇裂鼻畸形的方法及效果。方法:在纠正错位软骨的基础上,在“L”型硅胶假体上的鼻尖部附加一(ePTFE)薄片,用5-0尼龙线将两者缝合固定,对单侧唇裂鼻畸形患者进行鼻背、鼻尖、鼻翼、鼻小柱的加固和塑形。结果:“L”型硅胶假体与(ePTFE)补片联用,可使扁平的鼻梁、鼻尖及塌陷的鼻翼抬起,使鼻小柱挺立,大大改善了鼻的外观,效果满意,优良11例,改善6例。结论:应用“L”型硅胶假体与ePTFE修复单侧唇裂鼻畸形,是一种简便有效的方法。

Use of L-shaped silicone prosthesis and expanded polytetrafluoraethylene to repair the nasal deformities after repair of unilateral cleft lip: Report of 17 cases

PURPOSE:To evaluate the effect of using L-shaped silicone prosthesis and expanded polytetrafluoraethylene(ePTFE)to correct the nasal deformities after repair of unilateral cleft lip in 17 cases.METHODS:After correction of the malposed nasal cartilages,a chip of ePTFE was added to the tip of the L-shaped silicone prosthesis,and sutured with 5-0 nylon thread,to consolidate and mold the nasal dorsum,tip,ala and nasal columella.RESULTS:Simultaneous use of L-shaped silicone prosthesis and expanded polytetrafluoraethylene could elevate the flat nasal dorsum,tip,ala and nasal columella,which improved the nasal contour significantly.11 patients achieved excellent esthetic results,and 6 had improvement.CONCLUSION:Use of L-shaped silicone prosthesis and ePTFE to repair the nasal deformities after repair of unilateral cleft lip is a simple and effective method.