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原因浅析:1.术者经验不足,对所选择的方法尚未理解掌握,术中未作鼻底修复和矫治鼻翼软骨,常致鼻翼塌陷,上唇过紧过松等。2.术前患者有咳嗽流涕等上呼吸道感染,造成部分裂开或疤痕畸形。3.手术方法选择不当。病例介绍: 病例1:男,17岁。用Tennison法整复左上III°唇裂已11年。现鼻小柱偏健侧,唇高不等患侧短3mm,红唇吻合不齐错位。按Millard法设计,增定四点,去除疤痕,全部切开重缝,术后效果好。
Analysis of the reasons: 1. The surgeon's lack of experience, the method of choice has not yet understand the mastery, intraoperative repair and correction of nasal alar cartilage, often caused collapse of the nose, the upper lip too tight too loose. 2. Preoperative patients have cough, runny nose and other upper respiratory tract infection, resulting in partial dehiscence or scar deformity. 3 surgical methods improper choice. Case description: Case 1: Male, 17 years old. Tennison method with the upper left III ° cleft lip has been 11 years. The nasal column is healthy side, ranging from the affected side of the lip is short 3mm, red lips consistent misalignment. According to Millard method design, increase four points, remove the scar, all incision heavy seam, postoperative effect is good.