医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
12期
755-756
,共2页
单侧完全性唇裂%鼻齿槽矫正%鼻模塑形%鼻畸形
單側完全性脣裂%鼻齒槽矯正%鼻模塑形%鼻畸形
단측완전성진렬%비치조교정%비모소형%비기형
Complete unilateral cleft lip%noso-alveolar modification%nasal splint%nasal deformity
目的：探讨单侧完全性唇裂鼻畸形形成机制、临床特点及临床序列治疗现状。方法：通过大量阅读国内外相关文献，总结国内外学者对如何治疗及预防单侧完全性唇裂鼻畸形展开的深入研究及取得的相应的进展。结果：单侧完全性唇裂常伴有明显的鼻畸形，单纯的手术治疗不能解决复杂的鼻畸形，随着国内外推崇的唇腭裂序列治疗的不断完善和改进，单侧完全性唇裂的鼻畸形整复多采用术前鼻齿槽矫正术，唇裂修复术同期行鼻畸形矫正，术后鼻模塑形，其临床效果得到越来越多学者的肯定。本文拟对单侧完全性唇裂的临床特点，形成机制及初期修复治疗现状作一综述，以期进一步探讨其发展趋势及更好的指导临床工作。结论：单侧完全性唇裂鼻畸形是唇裂修复中最为棘手的部分，在治疗中应把握好每例患者的畸形特点，术前认真设计，综合考虑，手术中精准有效的对畸形部位进行可靠的解剖重建，通过不断提高整复技术与更新理论知识，加强临床随机对照研究和开展基础研究，更有效的推动单侧完全性唇裂鼻畸形的疗效提升。
目的：探討單側完全性脣裂鼻畸形形成機製、臨床特點及臨床序列治療現狀。方法：通過大量閱讀國內外相關文獻，總結國內外學者對如何治療及預防單側完全性脣裂鼻畸形展開的深入研究及取得的相應的進展。結果：單側完全性脣裂常伴有明顯的鼻畸形，單純的手術治療不能解決複雜的鼻畸形，隨著國內外推崇的脣腭裂序列治療的不斷完善和改進，單側完全性脣裂的鼻畸形整複多採用術前鼻齒槽矯正術，脣裂脩複術同期行鼻畸形矯正，術後鼻模塑形，其臨床效果得到越來越多學者的肯定。本文擬對單側完全性脣裂的臨床特點，形成機製及初期脩複治療現狀作一綜述，以期進一步探討其髮展趨勢及更好的指導臨床工作。結論：單側完全性脣裂鼻畸形是脣裂脩複中最為棘手的部分，在治療中應把握好每例患者的畸形特點，術前認真設計，綜閤攷慮，手術中精準有效的對畸形部位進行可靠的解剖重建，通過不斷提高整複技術與更新理論知識，加彊臨床隨機對照研究和開展基礎研究，更有效的推動單側完全性脣裂鼻畸形的療效提升。
목적：탐토단측완전성진렬비기형형성궤제、림상특점급림상서렬치료현상。방법：통과대량열독국내외상관문헌，총결국내외학자대여하치료급예방단측완전성진렬비기형전개적심입연구급취득적상응적진전。결과：단측완전성진렬상반유명현적비기형，단순적수술치료불능해결복잡적비기형，수착국내외추숭적진악렬서렬치료적불단완선화개진，단측완전성진렬적비기형정복다채용술전비치조교정술，진렬수복술동기행비기형교정，술후비모소형，기림상효과득도월래월다학자적긍정。본문의대단측완전성진렬적림상특점，형성궤제급초기수복치료현상작일종술，이기진일보탐토기발전추세급경호적지도림상공작。결론：단측완전성진렬비기형시진렬수복중최위극수적부분，재치료중응파악호매례환자적기형특점，술전인진설계，종합고필，수술중정준유효적대기형부위진행가고적해부중건，통과불단제고정복기술여경신이론지식，가강림상수궤대조연구화개전기출연구，경유효적추동단측완전성진렬비기형적료효제승。
Objective:To investigate formation mechanism,clinical characteristics and the team approach of the unilateral cleft lip nasal deformity.Methods:By reading literature,resear-ches process on how to treat and prevent the unilateral cleft lip nasal deformities and the influence it brings about the were summarized.Results:The Unilateral complete cleft lip is often accompa-nied by obvious nasal deformity,and the surgical methods can not repair complex nasal deformity of cleft lip.The Team Approach has been introduced to China for more than thirty years and was recognized by an increasing number of clinician.Noso-alveolar modification,operation,nasal splint after the operation are used to deal with the unilateral cleft lip nasal deformities.The clinical ef ect is recognized by more and more scholars.This article intends to elaborate the clinical features of unilateral complete cleft lip repair,formation mechanism and early treatment of the status, thus exploring the further trend of its development and bet er guiding clinical work.Conclusion:The unilateral cleft lip nasal deformity is the most dif icult part in cleft lip repair.In the treatment of deformity,we should deeply understand the characteristics of each patient.Preoperative careful design,the accuracy of operation,the reliability of ef ective anatomic reconstruction are expected to be considered careful y.By improving the surgical technology and theory knowledge,strengthening clinical random control study and the development of basic research,it wil be beneficial to promote more ef ective repair of complete unilateral cleft lip nasal deformity repair.
