THE SIGNIFICANCE OF RECONSTRUCTION OF ALAR CARTILAGINOUS RINGS IN THE SECONDARY PERIOD CORRECTION OF NASAL DEFORMITIES IN CLEFT LIP

ObjectiveTo explore effective restitution surgery to secondary period correction of nasal deformities in cleft lip. MethodsA total of 58 cases of congenital nasal deformities in cleft lip were included.According to their deformity features,the nasal alar cartilage brackets were remodeled to restore the alar cartilaginous fibrous ring and the nasal muscle were shifted and fixed to restore the alar cartilaginous muscular ring.The nasal columella prolongation and the nasal superficial musculoaponeurotic flap reconstruction were performed at the same time. ResultsThe average postoperative follow-ups of 9 months revealed good results of the symmetrical nasal wings and nostrils and centered nasal columella. ConclusionThe maldevelopment or breakage in the alar cartilaginous rings is the important anatomic foundation for the formation of congenital deformity of nose.The key point for ensuring the curative effect is to reconstruct the alar cartilaginous rings.