鼻翼软骨环状结构重建在先天性鼻畸形矫正术中的应用

目的：探讨符合解剖特点的先天性鼻畸形的有效整复方法。方法：对62例先天性鼻畸形患者根据畸形特点，采用鼻翼软骨支架重塑修复鼻翼软骨纤维环，鼻肌移位固定重建鼻翼软骨肌肉环，并辅以鼻小柱延长和鼻表浅肌肉腱膜瓣修整术整复。结果：本组病例术后双侧鼻翼及双侧鼻孔均对称，鼻小柱居中，随访6～24个月，疗效均满意。结论：鼻翼软骨环状结构发育不良或断裂是形成先天性鼻畸形的重要解剖学基础，重建鼻翼软骨环状结构是确保手术疗效的关键。

The reconstruction of alar cartilaginous rings in the congenital deformity of nose correction

Objective To explore some effective restitution surgery that consistent with the anatomy features of the congenital deformity of nose. Methods A total of 62 cases of congenital deformity of nose were involved. According to their deformity features, the nasal alar cartilage brackets were remodeled to restore the alar cartilaginous fibrous ring and the nasal muscle were shifted and fixed to restore the alar cartilaginous muscular ring assisted with the nasal columella prolongation and the nasal superficial musculoaponeurotic flap reconstruction. Results The postoperative follow-ups with 6N24 months revealed good results of the symmetrical nasal wings and nostrils and centered nasal columella. Conclusion The maldevelopment or breakage in the alar cartilaginous rings is the important anatomic foundation for the formation of congenital deformity of nose. The key point for ensuring the curative effect is to reconstruct the alar cartilaginous rings.