初回手術時に行った外鼻形成術の反省と外鼻形態に配慮した唇裂初回手術法

摘要

But patients often demonstrated short and unnaturally-looking noses as they grew up. Through the measurement of the ratio of the length of the nasal dorsum to the height of the middle-third of the face using the cephalograms of patients at 5 years of age, significant growth disturbance of the nose was shown. Therefore,we abandoned the practice of primary nasal repair in 1999.Instead, to have an acceptable nasal shape after lip repair,several points were added to the lip repair procedure;raise the affected alar base as high as the normal side, prevent flaring of the affected alar base, preserve the medial cms,an construct the nostril sill.