唇裂鼻畸形整复核心问题之华西观点

doi:10.7518/gjkq.2019039

国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (4): 383-386.doi: 10.7518/gjkq.2019039

唇裂鼻畸形整复核心问题之华西观点

李承浩,李业平,石冰()

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:2018-10-08 修回日期:2019-03-06 出版日期:2019-07-01 发布日期:2019-07-12
作者简介:李承浩,副教授,博士,Email：leechenghao_cn@163.com
专家简介：
李承浩，四川大学华西口腔医学院副教授。美国德克萨斯州Baylor医学中心整形外科联合培养博士，美国俄亥俄州Cincinnati儿童医学中心整形外科学博士后，美国匹兹堡大学、宾夕法尼亚大学、霍普金斯医学中心访问学者。中华口腔医学会颌面外科专业委员会青年委员，中华口腔医学会颌面外科专业委员会唇腭裂专业委员会青年委员，西藏医学会常务理事。美国颅颌面研究会会员，第一作者和通讯作者发表SCI文章20余篇，主编《唇腭裂手术治疗学》、《唇鼻畸形整复石冰2017观点》，副主编《唇腭裂与面裂就医指南》，参编《唇鼻整形美容手术图谱》、《唇腭裂综合治疗学》、《唇腭裂正畸治疗》。主持和参加多个国家及院校级项目，获四川省科技进步二等奖1项。擅长鼻唇整形，特别是复杂鼻畸形的整复及辅助治疗。

West China’s viewpoints on core problems of cleft lip-nose repair

Li Chenghao,Li Yeping,Shi Bing()

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2018-10-08 Revised:2019-03-06 Online:2019-07-01 Published:2019-07-12

摘要/Abstract

摘要：

唇裂鼻畸形矫正一直是唇裂整复的热点与难点。手术医师对唇裂鼻畸形形成原因的认识不足与分歧、矫正技术的局限性以及术后效果维持与预判能力的缺乏是导致该问题愈趋复杂的主要原因。本文就唇裂鼻畸形几个核心的问题阐述和分享四川大学华西口腔医院唇腭裂外科的观点与认识,期望与同行共同厘清唇裂鼻畸形整复的核心,有助于推动与提高整体唇裂患者治疗效果。

关键词: 唇裂, 肌肉重建, 肌力平衡, 力矩, 畸形

Abstract:

The correction of cleft lip-nasal deformities has been the highlights and difficulty of cleft lip repair. The main reasons for complexity are the lack of understanding and divergence amongst surgeons on the panthomechanisms of the cleft lip nose, the limitation of surgical techniques, and the inability to maintain and predict the postoperative outcomes. This article aims to share and elaborate West China’s viewpoint on and understanding of several core problems of cleft lip and nose deformity, thereby clarifying the core problems of cleft lip-nose repair with peers which aids in promoting and improving the overall treatment of patients with cleft lip.

Key words: cleft lip, muscular reconstruction, biodynamics balance, torque, deformity

中图分类号:

R782.2+1

李承浩,李业平,石冰. 唇裂鼻畸形整复核心问题之华西观点[J]. 国际口腔医学杂志, 2019, 46(4): 383-386.

Li Chenghao,Li Yeping,Shi Bing. West China’s viewpoints on core problems of cleft lip-nose repair[J]. Int J Stomatol, 2019, 46(4): 383-386.

图/表 2

图 1

表 1

参考文献 20

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部位	畸形表现	整复技术
鼻背	突度不足	鼻背肋软骨移植
鼻尖	突度不足	鼻小柱肋软骨移植,彻底松解鼻翼基脚
		附着后近中向缝合
	侧方异位	同侧鼻腔衬里行V-Y推进
鼻翼	尾部旋转	鼻翼软骨穹窿部对缝,彻底松解下外侧
		鼻翼软骨与梨状孔周围及上位软骨间附着
	软骨发育不良	鼻翼部软骨移植

唇裂鼻畸形整复核心问题之华西观点

West China’s viewpoints on core problems of cleft lip-nose repair

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