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单侧三度唇裂患者术后常遗留程度不等的患侧鼻畸形,其主要表现为鼻翼塌陷下垂、鼻孔扁平,鼻小柱短缩歪斜,鼻尖向前下移位等。另外,临床上偶可见到不伴有唇裂的单侧鼻翼塌陷畸形。此类鼻畸形的整复方法很多,但均有未尽善之处;又鉴于此类患者因鼻中隔偏曲常伴有患侧鼻塞症状,我们乃将鼻中隔矫正术与鼻畸形整形术结合进行,利用鼻中隔软骨作为鼻小柱与鼻翼的支架纠正畸形,取得初步满意的效果。自1984年以来共作6例,现报告如下。一、手术方法 1.取鼻中隔软骨:按鼻中隔粘膜下切除术切取鼻中隔软骨(具体方法从略)。要求尽可能大块切下,应争取有一块软骨长达25mm以上,并留取长条形的筛骨正中板骨片,用盐水
Unilateral cleft lip patients often have varying degrees of residual nasal deformity, which is mainly manifested as sagging nose, flat nostrils, shortening skewed nasal column, forward and downward nasal tip. In addition, we can even see clinically unilateral cleft lip associated with nasal collapse collapse. Such nasal deformities are many ways, but there are not perfect; and in view of such patients often due to nasal septum deviation associated with ipsilateral nasal obstruction symptoms, we are nasal septum orthodontics and nasal deformity combined with the use of Nasal septal cartilage as a columella and nasal wing braces to correct deformities, and achieved initial satisfactory results. A total of 6 cases since 1984, are as follows. First, surgical methods 1. Nasal septum cartilage: nasal septum resection nasal septum cartilage (specific methods omitted). Requires cutting as large as possible, should strive for a piece of cartilage up to 25mm above, and to retain a long strip of ethmoid bone plate, with saline