组织工程与重建外科杂志
組織工程與重建外科雜誌
조직공정여중건외과잡지
JOURNAL OF TISSUE ENGINEERING AND RECONSTRUCTIVE SURGERY
2015年
1期
28-29
,共2页
吴颖之%丁伟%陈凌枫%杨君毅
吳穎之%丁偉%陳凌楓%楊君毅
오영지%정위%진릉풍%양군의
单侧唇裂%二期鼻整形%鼻畸形%Z字成形术
單側脣裂%二期鼻整形%鼻畸形%Z字成形術
단측진렬%이기비정형%비기형%Z자성형술
Unilateral cleft lip%Secondary rhinoplasty%Nasal deformity%Z-plasty
目的:评估运用黏膜瓣Z成形术矫正鼻翼塌陷的治疗效果。方法2011年12月至2013年6月,对46例二期单侧唇裂患者使用黏膜瓣Z成形术锁边,缝合大翼软骨和侧鼻软骨来矫正其鼻翼畸形。测量鼻小柱倾斜度和鼻孔宽度,并进行统计分析。结果患侧鼻孔的宽度、鼻小柱的倾斜度及鼻尖和鼻翼的对称性都有明显改善。41例患者术后随访6个月,3例患者出现了轻度复发,但其数据分析与术前比较仍有明显改善。结论黏膜瓣Z成形术可有效矫正单侧唇裂患者的鼻翼塌陷。
目的:評估運用黏膜瓣Z成形術矯正鼻翼塌陷的治療效果。方法2011年12月至2013年6月,對46例二期單側脣裂患者使用黏膜瓣Z成形術鎖邊,縫閤大翼軟骨和側鼻軟骨來矯正其鼻翼畸形。測量鼻小柱傾斜度和鼻孔寬度,併進行統計分析。結果患側鼻孔的寬度、鼻小柱的傾斜度及鼻尖和鼻翼的對稱性都有明顯改善。41例患者術後隨訪6箇月,3例患者齣現瞭輕度複髮,但其數據分析與術前比較仍有明顯改善。結論黏膜瓣Z成形術可有效矯正單側脣裂患者的鼻翼塌陷。
목적:평고운용점막판Z성형술교정비익탑함적치료효과。방법2011년12월지2013년6월,대46례이기단측진렬환자사용점막판Z성형술쇄변,봉합대익연골화측비연골래교정기비익기형。측량비소주경사도화비공관도,병진행통계분석。결과환측비공적관도、비소주적경사도급비첨화비익적대칭성도유명현개선。41례환자술후수방6개월,3례환자출현료경도복발,단기수거분석여술전비교잉유명현개선。결론점막판Z성형술가유효교정단측진렬환자적비익탑함。
Objective To evaluate the effectiveness of mucochondrial Z plasty in correcting the collapse of lower lateral cartilage in the ala and nostril shaping. Methods From Dec. 2011 to Jun. 2013, 46 patients with unilateral cleft lip and nasal deformities were admitted for a secondary rhinoplasty. All the patients were treated with mucochondrial Z-plasty plus locking stitch suture of greater alar cartilage and lateral nasal cartilage to correct the ala and nostril deformities. The width of nostril and the inclination of columella were measured and analyzed. Results The width of nostrils, the inclination of the columella and the symmetry of the nasal tip and ala were all improved significantly after the surgery. Forty-one patients were followed up for 6 months, mild recurrence were observed only in 3 patients, while their data were still much better than that of preoperation. Conclusion The mucochondrial Z-plasty can effectively correct the ala and nostril deformities of patients with unilateral cleft lip.