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为制定标准的手术治疗方案,对唇裂术后上唇和鼻畸形的临床表现进行分类十分必要。作者分析500多例,提出用字母和数字相结合的分类法,字母代替畸形定位,数字表示畸形程度。上唇畸形用L(labium)表示。0—无畸形,疤痕不明显。1—疤痕明显,外形破坏,有足够的组织储备。2—上唇过紧,皮肤缺损,组织储备有限。3一畸形很明显,唇组织全层缺损。鼻尖鼻翼畸形用A(apex,alae)表示。0—鼻尖外形正常。1—单侧或双侧鼻翼扁平、鼻尖扁平。2—鼻翼畸形,单侧或双侧鼻孔有皮肤皱嵴。鼻中隔畸形用S(septum)表示。0—鼻中隔位置正常,无功能障碍。1—鼻中隔弯曲,无功能障碍。2—鼻中隔弯曲,鼻呼吸功能障碍。
It is necessary to classify the clinical manifestations of the upper lip and nasal deformity in order to develop a standard surgical treatment plan. The author analyzed more than 500 cases, proposed a combination of letters and numbers classification, letters instead of deformity positioning, the number indicates the degree of deformity. Upper lip deformity with L (labium) said. 0 - no deformity, scar is not obvious. 1 - obvious scar, shape damage, there is sufficient tissue reserves. 2 - upper lip too tight, skin defects, limited tissue reserves. 3 a deformity is very obvious, full-thickness lip defect. Apex nose deformity with A (apex, alae) said. 0-nose shape is normal. 1-sided or bilateral flat nose, nose flat. 2-nasal deformity, unilateral or bilateral nostril skin crease ridge. Nasal septum deformity with S (septum) said. 0 - nasal septum normal position, no dysfunction. 1- Nasal septum bending, no dysfunction. 2- nasal septum bending, nasal respiratory dysfunction.