自体耳甲软骨移植在唇裂术后鼻畸形修复中的应用.pdfVIP

JBengbuMedCoil，March2011，Vo1．36，No．3 [文章编号]1000-2200(2011)03-0248-02 ·临床 医学 · 自体耳甲软骨移植在唇裂术后鼻畸形修复中的应用 杜 娟，张 莉，王怀谷，李旭文，刘继松 [摘要】目的：评价 自体耳甲软骨移植在治疗唇裂术后鼻畸形整复中的效果。方法：将错位的口轮匝肌复位到正常的解剖位 置 ，充分解剖游离患侧鼻翼软骨，并将其悬吊到与健侧略高的水平，根据组织缺损情况 ，对 12例唇裂术后鼻畸形采用 自体耳甲 软骨移植进行整复，并观察临床疗效。结栗：鼻外形满意，鼻尖高度及形态、双鼻孔大小基本对称，鼻小柱延长，鼻尖扁平及鼻 翼塌陷恢复满意，供软骨区无并发症发生，耳廓无畸形。随访 1年，患者无移植软骨外露，远期效果满意。结论：应用 自体耳甲 软骨移植，具有修复鼻外形满意、手术创伤小、植入耳甲软骨易成活、塑性好、取材方便、没有排斥反应等优点，是修复唇裂术 后鼻畸形的有效方法。 【关键词]唇裂／外科手术 ；鼻畸形；耳甲软骨移植 [中国图书资料分类法分类号】R782．21 [文献标识码】A AutolougousauricularconchacartilagegraR in therepairofcleftlipnasaldeformity DU Juan，ZHANG Li，WANGHuai—gu，LIXu-wen，LIUJi—song (DepartmentofPlasticSurgery，TheFirstAffiliatedHospitalofBengbuMedicalCollege，BengbuAnhui233004，China) [Abstract]Objective：Toevaluatetheeffectofautolougousauricularconchacartilagegraftintherepairationofcleftlipnasal deformity．Me~ods：Themisplaced orbicularismusclewasrestored，theipsilateralalarcartilagewasreleased thoroughly andwas suspendedtoalevelslightlyhighertheoppositeside．Comparingthisdefomr edsidetothehealthycorrespondingparts，thedefectvolume ofthe12casescanbemeasuredandrepairedusingautolougousauriculra conchacartilagergaft．Results：Twelvecasesofcleftlipnasal defomr itieswerecorrectedwithsatisfactoryappearance．Thenasaltipheightandshape，thesizeofnostrilinbothsideswerealmost symmetrica1．Thecolumellawaslengthened，theflatHoseandnasal alarcollapsewerecorrected satisfactorily．Thedonorsitehad no complicationsand the operated earhad noresultantdeformities．Thelong·temr resultwas satisfactory．Conclusions：Autoloagous auriculra conchacartilagetransplantwasavaluablemethodtorepairingthecleftlipnasal defomr itywiththeadvantagesofsatisfactory nasaloutcome，littleoperativeinjury，easyviabilityofcartilage，convenientharvestandnorejection． [Keywords]cleftlip／surgery；nasaldefomrity；auricularconch