松解鼻唇张力系统联合软骨支架植入矫正唇裂术后鼻唇畸形

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1、福建医科大学硕士学位论文分类号：R62学校代码：10392学科专业代码：100210学号：2151003153硕士学位论文松解鼻唇张力系统联合软骨支架植入矫正唇裂术后鼻唇畸形Concomitantnasolabialtensionsystemandcostalcartilageforprogrammaticreconstructionofnasaldeformitiesaftercleftlipoperation学位类型：临床医学硕士所在学院：第一临床医学院申请人姓名：李丹学科、专业：整形外科学导师：王彪教授答辩委员主席郭树忠教授答辩日期2018年5月18二0一八年五月福建医科大学硕士

2、学位论文1福建医科大学硕士学位论文目录英文缩略表·······································································（1）中文摘要··········································································（2）英文摘要··········································································（3）前言··································

3、··············································（4）材料与法··········································································（6）结果···············································································（11）典型病例·········································································（12）

4、讨论···············································································（16）结论···············································································（19）参考文献········································································（21）综述············································

5、···································（24）致谢··············································································（30）2福建医科大学硕士学位论文英文缩略词表英文缩写英文全称中文全称SEGnasalseptumextensiongraft鼻中隔延伸移植CTComputedTomography计算机体层摄影术STRUTThenasalcolumnsupportsthetransplant.鼻小柱支撑移植3福建医科大学硕士学位论文松解鼻唇张力系统联合软骨支架植入矫正

6、唇裂术后鼻唇畸形摘要目的探讨松解鼻唇张力系统联合软骨支架植入矫正唇裂术后鼻唇畸形中的应用。方法以2016年1月至2016年12月在我科行单侧唇裂术后继发畸形中鼻唇畸形较严重的6例患者为研究对象，其中女性3例，男性3例。手术选择开放式鼻整形入路，采取松解鼻唇张力系统联合软骨支架植入矫正单侧唇裂术后鼻唇畸形。术后对患者进行随访，其中包括来院复查、照片回寄、家访、微信交流等。结果应用松解鼻唇张力系统联合软骨支架植入方式，在单侧唇裂术后鼻唇畸形患者中可以取得好的效果。术后即刻重建人中嵴，唇弓线条流畅，患侧唇峰结构明显，侧面观察唇弓缘见其稍上翘，患者鼻翼外侧脚较前内收，鼻底封闭，关闭口鼻瘘，外鼻

7、孔下缘可见鼻槛，双侧鼻孔基本对称，鼻小柱延长，鼻尖较术前明显抬高，重建鼻唇部解剖亚单位形态逼真。长期的术后随访表明患儿及其家属对结果表示较为满意。结论应用松解鼻唇张力系统联合软骨支架植入的方式，在单侧唇裂术后鼻唇畸形患者中可以取得良好的效果。【关键词】唇裂术后鼻唇畸形，鼻唇张力系统，软骨支架4福建医科大学硕士学位论文Concomitantnasolabialtensionsystemandcostalcartilageforprogrammat