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对双侧唇裂术后鼻畸形矫正尚无十分满意的方法,作者参照V-Y成形术原理,将前唇皮肤、皮下复合组织瓣分别分离至鼻尖部,形成2个瓣,小心保护经鼻尖垂直向下至前唇的2条小血管,使血管紧贴皮下复合组织瓣,将皮下复合组织瓣折叠3~4层,缝在鼻尖部两侧鼻翼软骨上,鼻尖部隆起效果良好,共作手术11例,追踪现在半年至1年半,疗效较满意。本法适用于双侧唇裂Ⅱ期修复矫正鼻小柱过短和鼻尖低平的患者,使鼻、唇、颏达到和谐协调的目的。手术方法简单,易于推广应用。
Bilateral cleft lip nasal deformity correction method is not yet satisfactory, the author with reference to V-Yoplasty principle, the anterior lip skin, subcutaneous composite tissue flap were separated to the tip of the nose, the formation of two petals, carefully protected by the tip of the nose vertical 2 small blood vessels down to the front lip, the blood vessels close to the subcutaneous composite tissue flap, the subcutaneous composite tissue flap folded 3 to 4 layers, sutured on both sides of the nasal alar cartilage, nasal tip uplift well, a total of surgery 11 cases, tracking now half a year to a year and a half, the effect is more satisfactory. This method is suitable for patients with bilateral cleft lip Ⅱ repair orthopedic columella and nose low, so that the nose, lips, chin to achieve the purpose of harmony and coordination. The operation method is simple and easy to popularize and apply.