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目的探讨采用鼻翼软骨复位鼻额隧道帽状腱膜悬吊法对唇裂继发鼻畸形的手术修复。方法 67例单侧唇裂继发鼻畸形患者,年龄8～46岁,男41例,女26例,采用鼻翼软骨复位鼻额隧道帽状腱膜悬吊法进行鼻畸形手术修复。术中切开双侧鼻翼皮肤与黏膜交界处,游离鼻翼软骨,切断患侧内侧脚的附着,将其复位,并与对侧的鼻翼软骨缝合,随后通过鼻额隧道将之向上悬吊至额部帽状腱膜。结果本法可较好地恢复患侧的鼻翼软骨,抬高鼻尖,使鼻孔两侧对称,经长期追踪发现,无一例复发,术后长期效果满意。结论应用鼻翼软骨额部帽状腱膜悬吊法可较好地修复唇裂继发鼻畸形,近、远期效果满意。
Objective To investigate the surgical repair of nasal deformity secondary to cleft lip with capsular aponeurosis suspension method using nasal alar cartilage reduction nasal tunnel. Methods 67 cases of unilateral cleft lip secondary to nasal deformity, aged 8 to 46 years old, 41 males and 26 females, nasal alar cartilage reduction nasal tunnel apical aponeurosis method for nasal deformity surgical repair. Surgery at the junction of bilateral nasal skin and mucosa incision, free nasal cartilage, cut off the attachment of the medial side of the affected side, its reset and contralateral alar cartilage sutured, and then through the nasal tunnel to the amount of suspension to the forehead Department of the hatch aponeurosis. Results This method can restore the alar cartilage in the affected side better, raise the tip of the nose and make the bilateral nostrils symmetrical. After long-term follow-up, no recurrence was found and the long-term postoperative effect was satisfactory. Conclusion The use of the nasal alar cartilage of the cephalic aponeurosis suspension method can better repair secondary cleft lip nasal deformity, near and long-term results are satisfactory.