单侧唇裂鼻与正常鼻鼻翼软骨连接组织的解剖组织学比较

探讨单侧唇裂鼻畸形鼻翼软骨周边连接组织的病理解剖变化。方法对４０例正常成人尸体鼻标本和３０例意单侧唇裂鼻畸形Ⅱ期手术患者进行了解剖，组织学及术中病理解剖，组织化学比较观察。结果 发现侧唇裂鼻和正常鼻在鼻翼软骨与临近皮肤，软骨，骨组织间，存在有６种鹅乐同的连接组织，两者间并无组织学质的区别和明显分差异，但唇裂鼻翼软骨各段扭曲与移位的程度与特点却不同，各段畸形特点与其周边连接组织的组织学特性有一定关系

The pathological action of surrounding connective tissues of alar cartilage in the cleft lip nose]

OBJECTIVE: This study was to explore the pathological action of the adjacent connective tissues of alar cartilage in unilateral cleft lip nose. METHODS: Anatomic-histological and pathoanatomical study was carried on 40 normal cadavers and 30 patients with secondary deformities of unilateral cleft lip during their operations. RESULTS: Six kinds of connective tissues with different histological features were found between the alar cartilage and adjacent skin, cartilage or bone. There was no histological difference in each connective tissue between the normal and the cleft lip nose. In the cleft lip nose, due to histological differences among the six connective tissues, there existed various changes of pathological dislocations between the alar cartilage and adjacent skin, cartilage or bone. CONCLUSION: The authors suggest that the surrounding connective tissues of the alar cartilage play an important role and be the intrinsic basis to produce the characteristic deformities of the cleft lip nose. The result is helpful in understanding the anatomical and histological features of the connective tissues around the alar cartilage and the deformities of the unilateral cleft lip nose so as to select a reasonable operation method.