鼻翼软骨肌肉环在单侧重度唇裂鼻 畸形矫正术中的作用论文

《鼻翼软骨肌肉环在单侧重度唇裂鼻 畸形矫正术中的作用论文》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、鼻翼软骨肌肉环在单侧重度唇裂鼻畸形矫正术中的作用论文【摘要】探讨鼻翼软骨肌肉环在单侧重度唇裂术后鼻畸形整复中的作用。方法：经鼻小柱基底的“V—Y”型切口行患侧鼻翼软骨肌肉环修复，对裂侧上颌骨退缩明显者，在裂侧梨状孔边缘处充填自体肋软骨组织，整复76例唇裂鼻畸形患者，观察近、远期效果。结果：76例切口均一期愈合，随访1238个月，对唇裂鼻畸形患者的鼻尖、鼻翼、鼻孔及鼻小柱畸形矫治术后外形满意。结论：唇裂患者因鼻翼软骨肌肉环发育不良，进而导致了鼻部肌力的失衡。因此.freeluscleringsinrepairingtheunilatera

2、lseverecleftlip［ABSTRACT］Objective:Todiscussaneffectivemethodofcheiloplastyforpostoperativenasaldeformityafterunilateralseverecleftlip.Methods:Seventysixpatientsityuscleringsbyremovalofthepointsoftheattachmentofthenasalcolumellabasementthrougha“VY”incisionandimplantati

3、onofanautologousribcartilagetissuearoundthepiriformapertureTheshortandlongtermresponsesaryhealings.Folloonths,theapexofnose,nasalala,nostrilsandnasalcolumellaproducedsatisfiedoutlines.Conclusions:Alarcartilagemuscleringishypoplastic,yosthenicdisequilibrium.Reconstruct

4、ionofthealarcartilagemuscleringplaysakeyroleinthecorrectionofnasaldeformitiesforcleftlippatients.［KEY,eds.GrabbandSmith′sPlasticSurgery［M］.5thed.Philadelphia:LippincottRavemnPublishers,1997.247248.［2］GibertJG,FeitLJ.Thenasalaponeurosisanditsroleinrhinoplasty［J］.ArchOt

5、olaryngol,1955,61:433.［3］LetourneauA,.freelusculoponeuroticsystemofthenose［J］.PlastReconstrSurg,1988,82:48.［4］BagatainM,KhoshMM,NishiokaG.Isolatednasamusclereconstructioninsecondaryunilateralcleftlipnasalreconstruction［J］.Laryngoscope,1999,109:320.［5］ShigehikoS,KayokoS,S

6、oonCh,etal.Reconstructionoforbicularisorisandlevatorlabiisuperiorismuscleinsecondaryrepairofunilateralcleftlip［J］.ScandJPlastReconstrHandSurg,2000,34:121.［6］郑永生,陈宗基，陈美云.鼻翼软骨环的研究及其在单侧唇裂鼻畸形矫正术中的应用［J］.中华整形烧伤外科杂志，1999，15：267.［7］DuttonJM,BumstedRM.Managementofthecleftlipnasal

7、deformity［J］.FacialPlastSurgClinNorthAm,2001,9(1):5158.［8］AhujRB.Radicalcorrectionofsecondarynasaldeformityinunilateralcleftlippatientspresentinglate［J］.PlastReconstrSurg,2001,108(5):11271135.［9］王健民.单侧唇裂术后鼻畸形整复48例报告［J］.中国美容医学,2005,14(1):75.