CAJ | 학술논문

目的探讨婴儿单侧完全性唇裂鼻畸形同期整复术方法,并初步观察其对鼻部发育的影响.方法对27例单侧完全性唇裂鼻畸形患儿在婴儿期行唇裂鼻畸形同期整复术,术后随访6～8年,采用人体测量学方法定量分析患者术后照片,对所定的各标志点进行测量、分析和评价.结果 27例患儿中,10例鼻外形远期效果为优,良14例,差3例.结论在了解鼻部血供解剖的基础上,应用适宜的手术方法进行婴儿单侧完全性唇裂鼻畸形同期整复,对鼻部发育无明显影响,可以减轻或消除学龄前患儿的唇裂伴发鼻畸形.
목적 탐토영인단측완전성진렬비기형동기정복술방법,병초보관찰기대비부발육적영향.방법 대27례단측완전성진렬비기형환인재영인기행진렬비기형동기정복술,술후수방6～8년,채용인체측량학방법정량분석환자술후조편,대소정적각표지점진행측량、분석화평개.결과 27례환인중,10례비외형원기효과위우,량14례,차3례.결론 재료해비부혈공해부적기출상,응용괄의적수술방법진행영인단측완전성진렬비기형동기정복,대비부발육무명현영향,가이감경혹소제학령전환인적진렬반발비기형.
Objective To introduce one-staged correction of nasal deformity and unilateral complete cleft lip in infancy and to observe the nasal development after the operation. Methods The unilateral complete cleft lip and nasal deformity were corrected in one stage in 27 cases. They were followed up for several years. With post-operative photos, the anthropometric method was used to analyze the nasal development. Results The long-term results were excellent in 10 cases, good in 14 cases, and poor in 3 cases. Conclusios Based on the anatomic findings of nasal blood supply, one-staged correction of nasal deformity and unilateral complete cleft lip in infancy can be performed with no obvious interference with nasal development. The secondary nasal deformity before school age can be alleviated or avoided.