CAJ | 학술논문

目的探讨一种单侧完全性唇裂继发严重鼻畸形的修复方法.方法根据健侧鼻翼饱满度,于患侧鼻翼凹陷区做Z成形术设计,形成上下两鼻翼黏软骨瓣,通过交错换位,整体延长了短缩的患侧鼻翼软骨瓣的长度,再将重组的患侧鼻翼与健侧悬吊,恢复患侧鼻翼正常的解剖形态,以达到鼻畸形修复的目的.结果 12例单侧唇裂继发严重鼻畸形的患者术后两侧鼻翼饱满、对称,两侧鼻孔形态接近,外形满意.结论患侧鼻翼黏膜软骨瓣Z成形术,对于修复严重的单侧完全性唇裂继发鼻畸形是一种良好的术式选择.
목적 탐토일충단측완전성진렬계발엄중비기형적수복방법.방법 근거건측비익포만도,우환측비익요함구주Z성형술설계,형성상하량비익점연골판,통과교착환위,정체연장료단축적환측비익연골판적장도,재장중조적환측비익여건측현조,회복환측비익정상적해부형태,이체도비기형수복적목적.결과 12례단측진렬계발엄중비기형적환자술후량측비익포만、대칭,량측비공형태접근,외형만의.결론 환측비익점막연골판Z성형술,대우수복엄중적단측완전성진렬계발비기형시일충량호적술식선택.
Objective To investigate a repair method for unilateral complete cleft lip nasal deformities.Methods Based on the fullness of healthy nasal wing,Z-form plasty was designed with a nasal mucous membrane and alar cartilage flap,to prolong its curtate length of the deformed side through overlapping transposition,and then with suspension of the custom-crafted nasal wing to replace its abnormal structure,subsequently,to recover the normal anatomic structure of the nosewing,and to get the nasal deformity repaired.Results A total of 12 patients with the severe nasal deformity were treated by this method.and all had satisfactory results.Conclusion This technique is a good choice for repairing the severe secondary nasal deformity after single complete cleft lip operation.