软骨重建在单侧唇裂术后鼻畸形修复中的应用

目的探索软骨重建在唇裂鼻畸形修复中的临床效果。方法 2012年1月至2013年1月,16岁以上单侧唇裂术后鼻畸形患者17例,取自体肋软骨分别制成不同形态的软骨支架,移植修复唇裂术后鼻畸形中的鼻中隔、鼻翼、鼻小柱等软骨畸形。结果所有患者随访6~24个月,术后效果良好,鼻翼塌陷、鼻尖低平、鼻孔不对称等问题得到了明显改善。结论应用自体肋软骨重建唇裂术后继发鼻畸形效果明显,值得推广应用。

Cartilage Reconstruction in Renovating Secondary Nasal Deformity of Unilateral Cleft Lip

Objective To explore the clinical efficacy of cartilage reconstruction in renovating secondary nasal deformity of unilateral cleft lip. Methods From Jan. 2012 to Jan. 2013, 17 patients, more than 16 years old, with secondary nasal deformity of unilateral cleft lip, were treated with cartilage reconstruction. Autogenous costicartilage was carved into different shapes, and then cartilage frameworks were embedded to renovate the deformities in nasal septum, columella and nosewing. Results All patients were followed up for 6 months to 2 years and were all satisfied with the outline of external nose. Caved nosewing, flatted nasal tip and symmetry of the nostril were evidently improved. Conclusion Autologous costicartilage transplantation plays an important role in the correction of secondary nasal deformity of cleft lip.