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目的:探讨鼻唇畸形二期修复同期行鼻中隔偏曲矫正术的手术效果。方法:鼻唇畸形二期修复时做鼻翼缘前庭合并鼻小柱切口,矫正大翼软骨、鼻肌、鼻小柱及鼻中隔的异常解剖位置,离断鼻中隔的异常附着,部分患者去除多余的鼻中隔组织,并将鼻中隔软骨末端可靠固定在正确的位置,与软组织逢合固定,或与前鼻棘等骨性组织缝合同定,同时矫正偏斜的鼻小柱等软组织,通过鼻部软、硬组织的矫正,恢复鼻的正常形态。结果:10例鼻唇畸形二期修复患者随访3个月~1a,通过手术前、后患者的外形和所测数据的比较,认为获得较满意的鼻外形。结论:鼻唇畸形二期修复同期行鼻中隔偏曲矫正术,使患者能够获得较好的鼻外形,并得到保持。
Objective: To investigate the surgical results of nasal septum deviation correction in the second stage of nasolabial deformity repair. Methods: During nasopharyngeal deformity, nasal lip marginal anastomosis and nasal columectomy were performed in the second phase of nasolabial deformity. The abnormal anatomical positions of large-wing cartilage, nasal muscle, nasal columella and nasal septum were corrected. Abnormal nasal septum attachment was found in some patients, Organization, and nasal septal cartilage ends reliably fixed in the correct position, with the soft tissue every fixed, or with the former nasal bony stitching and the same set, while correcting skewed columella and other soft tissue, through the nose soft and hard tissue The correction, restore the normal form of the nose. Results: Ten cases of nasopharyngeal prostheses were followed up for 3 months to 1 year. The shape of the patients before and after surgery was compared with the measured data, and the satisfactory nasal shape was obtained. CONCLUSION: Nasal and lip deformity secondary repair nasal septum deviation correction surgery, so that patients can get a better nose shape, and be maintained.