唇裂术后继发唇鼻畸形的综合修复

目的 寻求一种良好的综合修复唇裂术后继发畸形的方法。方法 联合几种较成熟的修复方法，并加以改进，成为 一种简便的综合修复方法；即上唇唇红缘皮肤条形切除重建唇弓，下唇粘膜瓣瓦合转移修复上唇凹陷畸形；患侧鼻孔基 底皮肤菱形切除，鼻小柱及患侧鼻翼脚基底部牵引复位，鼻孔缘“Ｍ＋Ｔ”瓣成形以及鼻内充填膨体聚四氟乙烯材料等方 法综合矫正鼻部畸形。结果应用于临床１２例，唇鼻畸形得到矫正，外观良好，术后无并发症；随访半年，远期效果好。结 论该复合方法能较满意地矫正中、重度的继发唇鼻畸形。

Comprehensively correcting lip-nasal deformities secondary to cleft lip repair

Objective To explore a comprehensive method to correct lip-nasal deformities secondary to cleft lip repair. Method We developed a simple comprehensive method by combining several currently well-practiced surgical methods with appropriate modification. Chiefly, the Cupid's bow was reconstructed with full-thickness skin excision, and the vermilion denciency repaired with the mucosal flap from the lower lip. The nasal deformities were corrected comprehensively by rhombic skin excision of the compromised nostril base, traction between the columella base and the lateral afar crus, M+T incision on the edge of the naris and expanded polytetrafluoroethylene (ePTFE) implantation into the nasal cavity. Results Twelve patients received surgeries with this approach, whose lip-nasal deformities were well corrected, and complications were not observed. A half-year follow-up demonstrated satisfactory long-term effect. Conclusion This comprehensive method is applicable in correcting moderate or severe secondary lip-nasal deformities with satisfactory effect.