[摘要]目的：探索应用自体耳软骨联合硅胶假体整复唇裂Ⅱ期鼻畸形的方法。方法：针对成年唇裂Ⅱ期鼻畸形患者鼻小柱短小，鼻尖低平，鼻翼塌陷等畸形。取适量自体耳甲腔软骨塑形，附于硅胶假体鼻尖部，分离、复位并固定患侧鼻翼软骨，通过隆鼻来延长鼻小柱，抬高鼻尖，矫正鼻翼塌陷，重塑外鼻自然形态。结果：对本组32例患者随访3个月～18个月，外鼻形态、色泽、手感均满意，无假体排异现象。供区耳郭外形正常。结论：自体耳软骨联合硅胶假体能有效重建鼻部正常生理性支架结构，整复唇裂Ⅱ期鼻畸形效果明显。

    [关键词]鼻畸形；自体耳软骨；硅胶假体

    [中图分类号]R622 [文献标识码]A [文章编号]1008-6455(2008)03-03

    Nasal deformity corrected by auricular cartilage in conjuction with silicone prosthesis

    XIN Hai-long1,XIE Ai-guo2,TAN Qian2

    (1.Department of Burns and Plastic Surgery, Nangang Hospital, Nanjing 210035, Jiangsu, China; 2. Department of Burn and Plastic Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China) ......