华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (2): 134-138.doi: 10.7518/hxkq.2022.02.002

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单侧唇裂鼻翼软骨定位术与再定位术的设计及应用

李精韬(), 石冰()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院唇腭裂外科,成都 610041
  • 收稿日期:2021-06-08 修回日期:2021-12-19 出版日期:2022-04-01 发布日期:2022-04-01
  • 通讯作者: 石冰 E-mail:lijingtao86@163.com;shibingcn@sina.com
  • 作者简介:李精韬,副教授,博士,E-mail:lijingtao86@163.com
  • 基金资助:
    四川大学华西口腔医院探索与研发项目(RD-03-2020-

Surgical design and application of alar cartilage positioning and repositioning in correcting cleft lip nose deformity

Li Jingtao(), Shi Bing.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Disea-ses & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-06-08 Revised:2021-12-19 Online:2022-04-01 Published:2022-04-01
  • Contact: Shi Bing. E-mail:lijingtao86@163.com;shibingcn@sina.com
  • Supported by:
    Exploration and R&D Project of West China Hospital of Stomatology, Sichuan University(RD-03-202007);Correspondence: Shi Bing, E-mail: shibingcn@sina.com

摘要:

鼻畸形矫正日益成为唇裂治疗关注的重点,其术后高复发问题是亟需解决的技术难点。笔者前期提出了依据中国人群鼻翼形态特点建立的鼻翼软骨二焦点固定技术(鼻翼软骨内固定术),之后在单侧唇裂整复中又建立了鼻小柱侧方软组织增量的理论与技术。基于对这两种技术的应用和总结,笔者将其进一步相结合从而发展出新的鼻畸形整复方法,称之为鼻翼软骨定位术,用于继发鼻畸形整复时则称为鼻翼软骨再定位术。本文对此技术的理论基础和初步应用经验做出介绍。

关键词: 唇裂, 鼻畸形, 鼻翼软骨定位术, 鼻翼软骨再定位术

Abstract:

Correction of nasal deformity is integral to modern cleft lip repair, and high risk of postoperative relapse remains a technical hurdle to overcome. The authors previously presented internal fixation of alar cartilage based on Chinese nasal morphology and lateral columella tissue increment for the correction of unilateral cleft nose deformity. Through the application and review of these techniques, the authors developed a new technique named alar cartilage positioning for primary cleft nose correction, or alar cartilage repositioning for secondary cases. Here, we introduce the theoretical foundation and preliminary experience in using this new technique.

Key words: cleft lip, nasal deformity, alar cartilage positioning, alar cartilage repositioning

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