单侧唇裂术后继发唇鼻畸形的矫治

目的：探讨单倒唇裂术后继发唇鼻畸形部分手术方法的改进。方法：基于对唇裂术后唇算畸形病理解剖的认识。唇裂继发唇鼻畸形的二期修复包括上唇瘢痕的切除与松解，以及对上唇短曲外翻或过长，唇红、唇弓、唇珠畸形、鼻小柱、鼻中隔偏斜或短曲、鼻头低垂及鼻孔过大或偏小，鼻翼塌陷、卷曲等不同程度的畸形通过局部组织移位或填充等综合娇治的手术方法，使畸形得以纠正，使以上组织恢复正常的解剖形态。结果：自2003年1月以来，经过58例的，临床实践，术后鼻底丰满，上唇人中嵴，人中凹显现，通过二期综合矫治，皆获得了满意效果。结论：通过对某些术式进行改进．提高了手术疗效，减少了畸形复发。

Management of secondary labionasal deformities after unilateral cleft lip repair

Objective To study the improvement of some operation ways of secondary labionasal deformities after unilateral cleft lip repair. Methods It based on the understand of pathology anatomise of secondary labionasal deformities after cleft lip repair.The second repair contained rectification of muffle and nasal. We resume labionasal normal anatomise by replacing and filling local tissue. Results All of the 58 patients showed nasal floor satiation,good muffle philtrum protruding and sunken shape since 2003. The results were satisfactory and stable after the second repair. Conclusion We can advance the effect and reduce recrudescence by improving some operations.