目的探讨在单侧完全性唇裂修复术中,既能减小鼻底张力,又简单易行,且能确保鼻底修复的方法。方法在唇缘设计两片黏膜瓣,以减小鼻底张力,同时闭合鼻底、口鼻前庭瘘。结果应用本方法治疗37例患儿,伤口均Ⅰ期愈合,瘢痕增生不明显,鼻底闭合良好,鼻底、鼻槛丰满。结论应用唇缘黏膜瓣修复鼻底,能有效治疗单侧完全性唇裂患者的鼻底畸形。

Objective To explore a simple and reliable method to decrease tension of the nasal floor and guarantee closure of the nasal floor in the treatment of unilateral complete cleft lip.Methods Two mucosal flaps were made at the lip margin to close the nasal floor with little tension,and vestibular oronasal fistula as well.Results Total 37 patients showed healing by first intention at the incision site without obvious scar,good closure at the nasal floor,and fullness of nasal sill and floor.Conclusion Mucosal flaps at lip margin can repair nasal floor defect effectively in unilateral complete cleft lip.