Correction of secondary nasal deformity after unilateral cleft lip surgery
10.3760/cma.j.cn114453-20200109-00008
- VernacularTitle:单侧唇裂术后继发鼻畸形的矫正
- Author:
Yanfeng ZHAO
1
;
Dongchao GUO
;
Jun HAO
;
Liping HU
Author Information
1. 上海玫瑰医疗美容医院美容整形科 215011
- Keywords:
Cleft lip;
Nasal deformity;
Correction
- From:
Chinese Journal of Plastic Surgery
2021;37(12):1360-1363
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the correction method of secondary nasal deformity after unilateral cleft lip.Methods:Patients with secondary nasal deformity after unilateral cleft lip surgery admitted to Shanghai Rose Medical Cosmetology Hospital from May 2017 to October 2019 were selected. Labial and nasal deformities were treated with surgical method, such as labial and nasal muscle tension lines reconstruction, nasal septum deviation correction, nasal tip cartilage scaffold reconstruction by using autogenous costal cartilage and lower lateral cartilage supported transplantation.Results:A total of 24 patients with secondary nasal deformity after unilateral cleft lip surgery were selected, including 10 males and 14 females, aged 17-22 years old, with an average age of 20 years old. All the patients had primary wound healing, and no delayed healing occurred. After 3-24 months of follow-up, the symmetry of the nose was significantly improved. There was no recurrence in the follow-up period, and the shape of the upper lip and nose was good.Conclusions:For the correction of secondary nasal deformities after cleft lip surgery, the method of labial and nasal muscle tension band reconstruction, nasal septum deviation correction, nasal tip cartilage scaffold reconstruction by using autogenous costal cartilage and lower lateral cartilage strengthening can achieve relatively good result.
