CAJ | 학술논문

目的探讨自体鼻中隔软骨在单侧唇裂继发鼻畸形矫治术中的应用及效果.方法对31例单侧唇裂继发鼻畸形患者,将错位畸形的鼻软骨松解复位后,用自体鼻中隔软骨移植,抬高塌陷鼻翼,重塑鼻尖软骨结构以矫正单侧唇裂鼻继发畸形.结果术后切口均Ⅰ期愈合,供软骨区无严重并发症发生,切口瘢痕隐蔽,经6个月至2年随访,无软骨吸收变形,鼻整形效果稳定.结论单侧唇裂继发鼻畸形,采用自体鼻中隔软骨移植矫治,既解决了软骨的取材来源,又对鼻中隔歪斜进行矫正,同时外鼻畸形矫正效果也良好.
목적 탐토자체비중격연골재단측진렬계발비기형교치술중적응용급효과.방법 대31례단측진렬계발비기형환자,장착위기형적비연골송해복위후,용자체비중격연골이식,태고탑함비익,중소비첨연골결구이교정단측진렬비계발기형.결과 술후절구균Ⅰ기유합,공연골구무엄중병발증발생,절구반흔은폐,경6개월지2년수방,무연골흡수변형,비정형효과은정.결론 단측진렬계발비기형,채용자체비중격연골이식교치,기해결료연골적취재래원,우대비중격왜사진행교정,동시외비기형교정효과야량호.
Objective To explore the application and efficacy of autogenous septal cartilage in the correction of cleft lip nasal deformity.Methods A total of 31 patients with secondary nasal deformity of cleft lip were involved in this study.After autologous nasal cartilage was released,the dislocation of nasal cartilage was corrected,nasal septum cartilage was used as substitute to raise the alar collapse,to reshape the nasal tip cartilage structure and correct the nasal deformity.Results Postoperative incision was primarily healing.For cartilage donor area there was no serious complications,and incision scar was concealed and unobvious; after 6 months to 2 years follow-up,there was no cartilage absorption deformation,the tip of the nose was flat,crack side nosewing collapses,and nasal columella skew was totally corrected,with stable rhinoplasty effects.Conclusions For secondary nasal deformity of cleft lip,the use of nasal septum cartilage to repair nose deformity can not only solve the cartilage source,but also give septal straightening and at the same time the correction effect of external nasal deformity is good.