CAJ | 학술논문

目的探讨应用解剖矫正及鼻中隔软骨修复单侧唇裂继发鼻畸形的方法及临床疗效.方法对21例单侧唇裂继发鼻畸形患者,采用鼻小柱及双侧鼻前庭Goodman切口,佩戴2.5倍放大镜,镜下充分剥离及矫正鼻畸形错位解剖至正常位置,通过切取鼻中隔软骨,并重新搭建鼻尖的支架系统,重塑鼻外形.结果手术分别纠正了鼻翼塌陷、鼻小柱偏斜、鼻孔不对称等问题,术后1个月、15个月随访21例,可见切口愈合良好,鼻形态改善明显,鼻小柱居中、鼻翼无塌陷、鼻孔基本对称,无明显复发,无并发症发生.结论在鼻部解剖基础上,充分矫正鼻畸形错位解剖至正常位置,通过切取鼻中隔软骨,并重新搭建鼻尖的支架系统,重塑鼻外形,有良好的治疗效果.
목적 탐토응용해부교정급비중격연골수복단측진렬계발비기형적방법급림상료효.방법 대21례단측진렬계발비기형환자,채용비소주급쌍측비전정Goodman절구,패대2.5배방대경,경하충분박리급교정비기형착위해부지정상위치,통과절취비중격연골,병중신탑건비첨적지가계통,중소비외형.결과 수술분별규정료비익탑함、비소주편사、비공불대칭등문제,술후1개월、15개월수방21례,가견절구유합량호,비형태개선명현,비소주거중、비익무탑함、비공기본대칭,무명현복발,무병발증발생.결론 재비부해부기출상,충분교정비기형착위해부지정상위치,통과절취비중격연골,병중신탑건비첨적지가계통,중소비외형,유량호적치료효과.
Objective To explore the clinical methodology and effects of correction of secondary unilateral cleft lip nasaldeformity by anatomical restoration and cartilage of nasal septum.Methods With the Goodman's incision in the columella and nasal vestibule,we cut out the cartilage of nasal septum and built a new support structure of tip to reshape the nasal shape after the adequate anatomical restoration under the magnifier of 2.5 times.Results The operation corrected alanasi collapse skewed columella and nostrils symmetry,etc.21 cases were treated and followed up for a month and fifteen months,showing stablized effect with columella centerno alanasi collapse,symmetric nostril and no recurrence.Conclusions On the base of nasal anatomy,a good therapeutic effect has been archeived by the adequate anatomical restoration,cutting out the cartilage of nasal septum and builting a new support structure of tip to reshape the nasal shape.