摘要目的 报告1例治疗唇裂鼻畸形矫正术后继发严重双侧前鼻孔闭锁的临床经验.方法 针对患者双侧前鼻孔闭锁,瘢痕组织重的畸形特点,利用设计鼻小柱软组织瓣转移至鼻腔内侧,同时缩窄鼻小柱,重建鼻穹隆,增加鼻孔周径和鼻前庭黏膜面积,有效改善患者的鼻外形和降低通气功能障碍.术后应用鼻模支架辅助成形半年.随访2年.结果 患者双侧鼻孔外形术后效果良好,鼻腔通气功能无障碍.结论 对术后继发严重双侧前鼻孔闭锁进行唇裂鼻畸形矫正术效果良好.

abstractsObjective This article reported a patient with severe bilateral nostril stenosis secondary to bilateral cleft lip nasal deformity correction surgery.Methods The surgical procedure included columellar flap and local soft tissue flap was transferred to nasal inside,columellar was narrowed,reconstruction of nasal dome,increased nostrils height and nasal vestibular mucosa area.Results Effective improvement of nasal profile and reduction of ventilation features obstacles was observed.Nasal retainer was used for half a year postoperatively.After two years' follow-up,it showed good results.Conclusions This article is to introduce the therapeutic process and detailed literature review of clinical study of nostril stenosis abnormalities.