USE OF CANTILEVER ILIAC BONE-GRAFTS FOR RECONSTRUCTION OF CLEFT LIP-ASSOCIATED NASAL DEFORMITIES
USE OF CANTILEVER ILIAC BONE-GRAFTS FOR RECONSTRUCTION OF CLEFT LIP-ASSOCIATED NASAL DEFORMITIES
复制标题
DOI：
10.1016/0278-2391(95)90325-9
复制
发表时间：
1995-07-01
影响因子：
1.9
通讯作者：
SUSAMI, T
中科院分区：
文献类型：
--
作者：
TAKATO, T;YONEHARA, Y;SUSAMI, T
目的：本研究的目的是描述悬臂式髂骨移植重建唇裂相关鼻畸形的临床和影像学观察。材料和方法：采用开放鼻整形技术对 14 例唇裂性鼻部严重变形的患者进行悬臂式髂骨移植。将约 6 厘米长的髂骨紧紧插入鼻骨上方的骨膜下袋中，并通过移植物的远端抬高鼻尖。临床随访7个月至3年。结果：所有患者均获得满意结果。在最初的2至3个月内，移植骨的尺寸略有减小，轮廓不规则变得圆润，在此期间，所有病例均观察到与下方鼻骨的骨性融合。大约6个月后，移植物没有发生进一步的变化。结论：这种类型的骨移植物可用于额外的结构支撑并实现所需的鼻部突出和轮廓，增强鼻梁会产生鼻子更窄的错觉。手术成功的关键似乎是将移植骨正确固定到下面的鼻骨上。
Purpose: The purpose of this study was to describe the clinical and radiographic observations on cantilever iliac bone grafts for reconstruction of cleft lip-associated nasal deformities.Materials and Methods: Cantilever iliac bone grafts were performed on 14 patients with a severely deformed cleft lip-associated nose using the open rhinoplasty technique. An approximately 6-cm length of iliac bone was tightly inserted into a subperiosteal pocket over the nasal bones, and the nasal tip was elevated by the distal end of the graft. The clinical follow-up ranged from 7 months to 3 years.Results: All patients were judged to have satisfactory results. The grafted bone decreased slightly in size during the first 2 to 3 months, and irregularities in contour became rounded, During the same period, bony union with the underlying nasal bones was observed in all cases. After about 6 months, further changes did not occur in the grafts.Conclusion: This type of bone graft can be used for additional structural support and to achieve the desired nasal projection and profile, Augmenting the nasal bridge creates the illusion of a narrower nose. The key to success of the operation seems to be the proper fixation of the grafted bone to the underlying nasal bones.