CAJ | 학술논문

目的：探讨唇裂术后继发鼻翼宽大、塌陷畸形，以及鼻尖低平的手术方法及切口设计。方法鼻部设计 M-W 形皮肤切口，以充分满足鼻小柱所需延长高度，同时缩小鼻孔周径，术后手术瘢痕隐蔽。结合鼻小柱至鼻尖部 T 区的肋软骨复合体植入，悬吊固定，强化支撑作用，纠正鼻翼宽大塌陷及鼻尖部低平畸形。结果16例患者术后切口均愈合良好，无并发症，塑形后鼻翼、鼻尖形态良好，外观满意。结论M-W 形切口联合 T 区强化的手术方式，能够明显改善唇裂术后继发鼻翼宽大、塌陷畸形，鼻尖低平的外观，手术操作简单，术后效果满意。
목적：탐토진렬술후계발비익관대、탑함기형，이급비첨저평적수술방법급절구설계。방법비부설계 M-W 형피부절구，이충분만족비소주소수연장고도，동시축소비공주경，술후수술반흔은폐。결합비소주지비첨부 T 구적륵연골복합체식입，현조고정，강화지탱작용，규정비익관대탑함급비첨부저평기형。결과16례환자술후절구균유합량호，무병발증，소형후비익、비첨형태량호，외관만의。결론M-W 형절구연합 T 구강화적수술방식，능구명현개선진렬술후계발비익관대、탑함기형，비첨저평적외관，수술조작간단，술후효과만의。
Objective To investigate the method and design to correct the secondary nasal wing and nasal tips deformities after the surgical treatment in the patients with cleft lip.Methods The M-W shape incision was designed to prolong the length of columella nasi,the perimeter of nostril was shrunk,and the scar was concealed.Meanwhile,cartilago costalis was transplanted to strengthen the supporting force on T area which included nasal columella and tip.Results Sixteen cases of patients were healed with satisfactory appearance of nose,with good shape of nasal wing and tip.Conclusion This method can obviously correct the nasolabial deformities after the surgical treatment in the patients with cleft lip.The procedure of operation is simple,and the therapeutic effect is satisfactory.