Correction of nasal deformities in unilateral cleft lip
10.3760/cma.j.issn.1671-0290.2010.04.007
- VernacularTitle:单侧唇裂继发鼻畸形的修复
- Author:
Bin YANG
;
Bin XIONG
;
Ming ZHAO
;
Liang ZHANG
- Publication Type:Journal Article
- Keywords:
Unilateral cleft lip;
Nasal deformity;
Rhinoplasty
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2010;16(4):233-236
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the mechanism of nasal deformity by reviewing the possible pathogenesis and nasal anatomy and to find the effective and reliable operative methods to correct nasal deformities in unilateral cleft lip.Methods 57 patients (37 males,20 females,and range in age from 12 to 25 years,with mean of 18.6 years) with nasal deformities in unilateral cleft lip were available for this study.The nasal deformities were treated with the following surgical procedures according to the different locations and degree Of nasal deformities.The eompositive techniques included:alveolar bone grafting was taken to correct the collapse the nasaI base;a cortical plate was inserted between the two medial crura of the alar cartilage.According to the nasal contours of non-cleft side,the alar cartilage was resected and suspended to its normal and symmetrical position.The alar cartilaginous ring was reconstruction,which maintained the nostril shape 3 month postoperatively.Results A total of 57 cases were treated by the method above,and were ranged with score by operators and patients.93% of cases were evaluated as satisfaction after operation.The follow-up for 3 to 24 months showed that 52 cases had achieved satisfactory effects,5 cases showed the trend to relapse.Conclusion The cause of nasal deformities in unilateral cleft lip is complex.The study has achieved a significant improvement by synthetical correction of deformities of maxilla,cartilage and soft tissues, and the restoration of nasal-labial muscles.The rigid suspending is more important to maintain the nostril contour and avoid relapse.
