摘要目的 探讨坚固内固定技术用于单侧唇裂/唇腭裂继发鼻畸形的二期修复手术,重塑鼻中隔支撑的适应证与效果.方法 收集2015年1月至2018年5月,北京大学口腔医院唇腭裂治疗中心单侧唇裂/唇腭裂继发鼻畸形患者19例资料.鼻继发畸形矫正术中使用可吸收螺钉,将自体鼻中隔软骨制备的软骨支架固定于前鼻棘骨性结构上,为鼻尖成形和患侧易位的鼻翼软骨复位提供支撑.结果 19例均完成可吸收材料固定鼻中隔软骨瓣重建鼻小柱支撑的二期开放式入路鼻整形手术.手术效果显示,鼻中隔软骨瓣支架固定牢固且术后无明显松脱移位,起到了可靠的支撑作用.结论 可吸收材料内固定技术可用于单侧唇裂继发鼻畸形患者二期修复术鼻中隔支架的固定,为鼻尖成形及鼻翼软骨复位固定提供支撑.

abstractsObjective It is crucial to restore and fix the position of nasal septum which elaborates supportive function in rhinoplasty for secondary nose deformity of cleft lip and palate patients.The aim of this study was to explore the fixation technique with absorbable material in rhinoplasty for correction cleft lip nose deformity.Methods Nineteen cases with unilateral cleft lip/with or without palate cleft were included in this study.Absorbable screw was used to fix the implanted and re-positioned grafted cartilage septum which was shaped into strip with anterior nasal spine.Results Full success was achieved for all of 19 cases with internal fixation technique to re-position nasal septum to correct nasal deformity.There was no complications occurred.Conclusions Internal fixation technique with absorbable material could be used to correct secondary nasal deformity in cleft lip and palate patients and fixed re-positioned grafted cartilage septum can apply a strong support to ala nasi cartilage in cleft site.