目的通过对双侧唇裂继发鼻畸形进行细致的病理解剖学分析,制定出具体的治疗目标,探讨矫正的有效手术方法。方法以双侧唇裂继发鼻畸形的病理解剖学为基础,将手术程序分为鼻小柱及鼻尖整形、鼻翼软骨的整形、鼻底的整形3个连续的步骤。结果自2000年以来应用上述方法手术矫正36例,其中畸形严重的双侧完全性唇裂术后患者22例,占61.6%。所有病例术后伤口均Ⅰ期愈合,鼻外形明显改善,无感染及皮瓣坏死等并发症发生。术后随访10～24个月,平均17个月,满意率高达100%。结论双侧唇裂继发鼻畸形具有其特有的病理解剖学特征,以解剖学特征基础制定具体手术方案,确保了最终疗效的满意率。 Objective To make a detailed pathological anatomy analysis of nasal deformities secondary to cleft lip, and to develop specific treatment goals to explore effective surgical methods of correction. Methods Based on the pathological anatomy of nasal deformities secondary to cleft lip, surgical procedures were divided into three consecutive steps: columella and nasal tip plastic surgery, nasal cartilage plastic surgery, and nasal floor plastic surgery. RESULTS: Thirty-six cases were corrected by using the above method since 2000, of which 22 cases (61.6%) had severe deformity after bilateral complete cleft lip surgery. All cases of wounds were healed in the first period, the nasal shape was significantly improved, no infection and necrosis of the flaps and other complications occurred. The patients were followed up for 10-24 months, with an average of 17 months. The satisfaction rate was as high as 100%. Conclusion Secondary nasal deformities of bilateral cleft lip has its own characteristic of pathological anatomy. Based on the anatomic features, a specific surgical plan is formulated to ensure the satisfactory rate of final curative effect.