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目的:探讨不同畸形程度先天性鼻部正中裂的治疗方法和效果,并总结外科治疗经验。方法:对我科收住的10例诊断为先天性鼻部正中裂的患者,行鼻部正中裂隙畸形矫正,鼻中隔软骨缝合,重建塑形及耳廓软骨、肋软骨移植等方法矫正鼻畸形。结果:所有病例术后均取得满意效果,随访时间6个月~10年,鼻畸形外观得到明显改善。结论:先天性鼻畸形手术时机选择非常重要,合适的年龄段宜尽早施行手术矫治;对于软骨支持结构缺乏者,宜进行软骨移植,最大限度的改善鼻畸形及外观。
Objective: To explore the treatment methods and effects of congenital nasal median fissures with different degrees of deformity and to summarize the experience of surgical treatment. Methods: Ten cases diagnosed as congenital nasal median fissure in our department were treated with correction of nasal deformity, nasal septal cartilage suture, reconstruction and auricle cartilage, and costal cartilage transplantation to correct nasal deformity. Results: All patients achieved satisfactory results after operation. The follow-up time ranged from 6 months to 10 years. The appearance of nasal deformity was significantly improved. CONCLUSIONS: The timing of operation for congenital nasal deformity is very important. The appropriate age should be treated as soon as possible. For the lack of cartilage support structure, cartilage transplantation should be carried out to improve the nasal deformity and appearance to the maximum extent.