鼻中隔軟骨和肋軟骨在唇裂鼻畸形整復中的比較研究.pdf

1、南昌大學醫(yī)學院碩士學位論文鼻中隔軟骨和肋軟骨在唇裂鼻畸形整復中的比較研究姓名：宋志勇申請學位級別：碩士專業(yè)：外科學指導教師：李小林20100601AbstractABSTRACTObjective：Thepurposeofthisstudyistesearchaneffectivemethodtodealwiththecleftlipnasaldeformityinthecomparisonofthecorrectionofnasald

2、eformitiesofcleftlipwithapplicationofnasalseptalcartilageandcostalcartilageMethods：First，wemarkanewlocationofthenasaltipanddesigna”seagullshaped”incisioninnasalvestibuleandcolumellapositionanddissectbilateralalarcarlilag

3、eSecond，wemakeanasalstentwiththeseptalcartilageorcostalcartilagewhichiStakenfromtheirbodyCareshouldbetakenonadequatereleaseofthelateralcrurafromitsattachmentstothepyriform，anatomicalreconstructionofthemusclering，anatomic

4、alrepositionofthelateralcruraanddomewhenthenasalstentisimplantedAdjustthenasalcolumellaheight，nasaltipshapeandthewidthofthebottomandmakeitsymmetricalwithhealthmeasurementUsingthemethodofqualitativeanalysis，wehaveobserved

5、twogroupsofthepatientswithnasalbasewidthsymmetry，nosetip，nostrilshape，nasalcolumellaheight，nasaldorsumshapeandalarsymmetry，andthencomparedResults：therehasnostatisticalsignificanceinthewidthofthenasalbase，nostfilshape，the

6、improvementinalarsymmetrybetweenthegroupofthecleftlipnasaldeformitypatientswhoautogenousseptalcartilagewasimplantedandthegroupofthecleftlipnasaldeformitypatientswhoautogenouscostalcartilagewasimplantedTherehasstatistical

7、significanceinthenasalcolumellaheight，nasaldorsumshape，nasaltipbetweenthetwogroupsIn110months’followup，allthepatientshadnonasalincisioninfectioninthestudyCostalcartilagegrouppatientshavenoseriouscomplicationsofpneumothor

8、axandchestincisioninfection，indurationandSOonConclusion：ThegroupautogenouscostalcartilagewasgraftedtorepaircleftlipnasaldeformityhavebetterresultsthanthegroupautogenousseptalcartilageWassimplyimplantedintheshapeofthenose

9、TogetautogenousseptalcartilagedoesnotrequireasecondsurgicalfieIdTherehavealotofshortcomingswhicharenotacceptedbypatientswhenyougetautogenouscostalcartilage，suchasabigscarSowebelievethatthetwosurgicaltechniqueshavetheirad