CAJ | 학술논문

目的探讨对单侧唇裂术后继发鼻畸形,采用自体肋软骨移植,进行支撑结构矫正和重建的新技术.方法对237例单侧唇裂术后继发鼻畸形患者,经微创切口采集肋软骨组织块,制备成C形软骨支架和软骨碎块,经开放式鼻小柱切口,于塌陷鼻翼内植入C形软骨支架,软骨碎块则充填纠正鼻翼基底下沉畸形.结果 237例单侧唇裂术后继发鼻畸形,术后手术切口优良愈合,鼻尖、鼻中隔和鼻翼畸形得到理想纠正,双侧鼻孔基底部等高,鼻腔通气功能好.1年后随访93例,鼻外形良好,无明显瘢痕形成.结论采用自体肋软骨移植,对唇裂术后继发鼻畸形的硬组织畸形进行综合矫治,可以获得较理想的整形效果.
목적 탐토대단측진렬술후계발비기형,채용자체륵연골이식,진행지탱결구교정화중건적신기술.방법 대237례단측진렬술후계발비기형환자,경미창절구채집륵연골조직괴,제비성C형연골지가화연골쇄괴,경개방식비소주절구,우탑함비익내식입C형연골지가,연골쇄괴칙충전규정비익기저하침기형.결과 237례단측진렬술후계발비기형,술후수술절구우량유합,비첨、비중격화비익기형득도이상규정,쌍측비공기저부등고,비강통기공능호.1년후수방93례,비외형량호,무명현반흔형성.결론 채용자체륵연골이식,대진렬술후계발비기형적경조직기형진행종합교치,가이획득교이상적정형효과.
Objective To investigate the correction of secondary nasal deformity of cleft lip with autogenous costal cartilage framework.Methods 237 cases with secondary nasal deformity of unilateral cleft lip were treated.The rib cartilage was harvested through a mini-invasive incision,and was fabricated as a C-shaped framework,as well as some cartilage fragments.Through transcolumella incision,the C-shaped framework was implanted to support the depressed alar and the cartilage fragments were used to augment the nasal base.Results Satisfactory cosmetic and functional results were achieved in all the patients with primary healing.93 patients were followed up one year after operation with good cosmetic results.Conclusions Autogenous costal cartilage framework can be used for the correction of secondary nasal deformity of cleft lip with satisfactory results.