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目的:探讨鼻美学亚单位原则在唇裂鼻畸形修复术中应用的效果和意义。方法:根据鼻亚单位结构形态和美学原则,对28例唇裂鼻畸形患者通过重建鼻槛、鼻小柱、矫正鼻翼塌陷畸形等方法进行综合修复。结果:随访6个月～2年,25例获随访,患者术后鼻外形恢复良好,鼻小柱居中,鼻基底抬高,双侧鼻孔基本等大,外形满意,瘢痕轻微。结论:亚单位原则应用指导唇裂鼻畸形矫正,可获得较为正常的鼻形态。
Objective: To explore the effect and significance of nasal aesthetic subunit principles in the repair of cleft lip nasal deformity. Methods: According to the structure and aesthetics of nasal subunits, 28 cases of cleft lip nasal deformity were reconstructed by reconstruction of nasal wall, columella, correction of nasal alar collapse and so on. Results: Follow-up ranged from 6 months to 2 years. Twenty-five patients were followed up. The postoperative nasal shape recovered well. The median nasal column was elevated. The nasal base was elevated. The bilateral nostrils were basically the same size. The appearance was satisfactory and the scar was slight. Conclusion: The principle of subunits guide the application of cleft lip nasal deformity correction can get a more normal nasal morphology.