Secondary rhinoplasty in the bilateral cleft.
Secondary rhinoplasty in the bilateral cleft.
复制标题
双侧裂口二次鼻整形术。
DOI：
10.1055/s-2002-33064
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
G. Trenité
中科院分区：
文献类型：
--
作者：
G. Trenité
由于其特定的病理解剖学特点，双侧裂隙二次鼻整形术非常复杂。本文描述了双侧裂鼻的一般和具体特征，并强调了仔细的术前评估。我们从生长抑制和心理方面考虑手术时机和系统合理的手术方式，将手术过程分为：鼻中隔手术、鼻尖手术、骨软骨穹窿手术、上颌提升术、鼻翼基底重新定位术。我们报告了一项回顾性研究的结果，以评估定制前庭装置的术后护理，以防止术后因疤痕组织回缩引起的前庭狭窄。
Secondary rhinoplasty in bilateral clefts is very complex due to its specific pathological anatomical characteristics. In this article, the general and specific characteristics of the nose of the bilateral clefts are described and careful preoperative assessment is emphasized. We discuss the timing of the operation considering growth inhibition and psychological aspects and a systematic rational surgical approach, dividing the operative procedure into: septal surgery, tip surgery, osseocartilaginous vault surgery, maxillary augmentation, and alar base reallocation. We report results of a retrospective study to evaluate the postoperative care with a custom-made vestibulum device to prevent stenosis of the vestibulum caused by scar tissue retraction in the postoperative period.