中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2011年
3期
190-193
,共4页
单侧完全性唇裂%鼻畸形%同期修复
單側完全性脣裂%鼻畸形%同期脩複
단측완전성진렬%비기형%동기수복
Unilateral cleft lip%Nasal deformity%One-staged correction
目的 探讨完全性单侧唇裂鼻唇畸形同期修复的时机、手术方法及围手术期的序列治疗对手术效果的影响.方法 收集完全性单侧唇裂病例76例,手术年龄为3～12个月.手术方法采用鼻唇畸形同期修复方法,参考Salyer及Noordhoof法的手术原则,并根据具体情况灵活设计,配合术前、术后的序列治疗.结果 完全性单侧唇裂鼻唇畸形同期修复术后随访时间为3个月至20年.总体鼻唇形态恢复满意.其中,优秀39例(51.3%),满意33例(43.4%),不满意4例(5.3%).结论 早期鼻唇畸形同期修复,配合围手术期的序列治疗,以及整形外科或颌面外科医师纯熟的手术技巧,尽最大可能减少损伤和瘢痕,会达到理想的修复效果.
目的 探討完全性單側脣裂鼻脣畸形同期脩複的時機、手術方法及圍手術期的序列治療對手術效果的影響.方法 收集完全性單側脣裂病例76例,手術年齡為3～12箇月.手術方法採用鼻脣畸形同期脩複方法,參攷Salyer及Noordhoof法的手術原則,併根據具體情況靈活設計,配閤術前、術後的序列治療.結果 完全性單側脣裂鼻脣畸形同期脩複術後隨訪時間為3箇月至20年.總體鼻脣形態恢複滿意.其中,優秀39例(51.3%),滿意33例(43.4%),不滿意4例(5.3%).結論 早期鼻脣畸形同期脩複,配閤圍手術期的序列治療,以及整形外科或頜麵外科醫師純熟的手術技巧,儘最大可能減少損傷和瘢痕,會達到理想的脩複效果.
목적 탐토완전성단측진렬비진기형동기수복적시궤、수술방법급위수술기적서렬치료대수술효과적영향.방법 수집완전성단측진렬병례76례,수술년령위3～12개월.수술방법채용비진기형동기수복방법,삼고Salyer급Noordhoof법적수술원칙,병근거구체정황령활설계,배합술전、술후적서렬치료.결과 완전성단측진렬비진기형동기수복술후수방시간위3개월지20년.총체비진형태회복만의.기중,우수39례(51.3%),만의33례(43.4%),불만의4례(5.3%).결론 조기비진기형동기수복,배합위수술기적서렬치료,이급정형외과혹합면외과의사순숙적수술기교,진최대가능감소손상화반흔,회체도이상적수복효과.
Objective To investigate the influence of timing, operative method and perioperative sequence treatment on the therapeutic effect of one-staged correction of lip and nose deformities in complete unilateral cleft lip. Methods Seventy-six patients with unilateral complete cleft lip, aged from 3 to 12 months, underwent one-staged correction of lip and nose deformities, based on the Salyer, Noordhoof method. Sequence treatment was performed before and after operation. Results The patients were followed up for 3 months to 20 years with excellent results in 39 cases ( 51. 3% ) , good in 33 patients (43. 4% ) , unsatisfied in 4 patients( 5. 3% ). Conclusions Good results can be achieved when the onestaged correction of lip and nose deformities, combined with perioperative sequence treatment, is performed. The operative technique of plastic surgeon or maxillofacial surgeon is also important for less morbidity and scar.
