唇裂鼻畸形三位一体动态平衡重建术
三位一体动态平衡重建术(俗称:三位一体疗法)。
Three-Step Dynamic Balance Reconstruction Technique.
创立者:李国珍主任医师;适应症:唇腭裂继发鼻畸形重建整复.
Originator: Chief Physician Li Guozhen; Indications: Reconstructive repair of secondary cleft-lip nasal deformity.

“三位”三大修复维度:
Three Major Reconstructive Dimensions of the "Three-Step" Concept:
①软骨与骨性支架重建(建立稳定骨架根基)
Reconstruction of Cartilaginous and Skeletal Framework (Establish a Stable Skeletal Foundation).
矫正鼻中隔偏斜、鼻小柱短小后缩、患侧鼻翼塌陷;采用自体肋软骨搭建稳固的鼻部中轴支撑,从根源纠正骨架歪斜,为鼻子提供长期稳定支撑。
Correct deviation of the nasal septum, short and retracted columella, and collapse of the affected alar. Autologous costal cartilage is applied to build a stable central nasal support, rectifying skeletal deviation at its source and providing long-term stable support for the nose.

②软组织与口周肌肉力学平衡复位(解除畸形牵拉).
Mechanical Balance Repositioning of Soft Tissues and Perioral Muscles (Release Deforming Traction).
唇裂患者口轮匝肌错位,持续牵拉鼻底、鼻翼,是术后畸形复发的主要诱因。术中松解异常牵拉的唇鼻肌肉环及疤痕;组织缺损严重时,搭配Abbe皮瓣、黏膜瓣及游离移植修复缺损,消除持续拉扯应力,重建口周动态平衡张力带。

Malpositioned orbicularis oris muscle in patients with cleft lip continuously pulls the nasal base and alae nasi, which constitutes the main trigger for postoperative recurrence of deformity. Intraoperatively, abnormally tethered lip-nasal muscular rings and scars are released. In cases of severe tissue defects, Abbe flaps, mucosal flaps and free grafts are adopted for defect repair, so as to eliminate persistent tensile stress and reconstruct the dynamic balanced tension band around the mouth.

③ 鼻腔通气功能+外观美学动态重建(兼顾功能与自然美感)。
Dynamic Reconstruction of Nasal Ventilatory Function and Aesthetic Appearance (Balancing Function and Natural Beauty).
修复鼻瓣狭窄,改善鼻塞通气障碍;同步矫正鼻孔不对称、鼻底凹陷。
Repair nasal valve stenosis and relieve nasal obstruction; simultaneously correct nostril asymmetry and nasal base depression.

三位一体动态平衡重建术,专门用于唇腭裂继发鼻畸形重建整复,从软骨支架、口周软组织肌肉、鼻腔功能与外观美学三个维度整体重建,恢复唇鼻力学平衡,实现通气改善与自然持久的修复效果。
The Three-Step Dynamic Balance Reconstruction Technique is designed for the reconstructive repair of secondary cleft-lip nasal deformity. It achieves comprehensive reconstruction in three dimensions: cartilaginous framework, perioral soft tissues and muscles, as well as nasal function and aesthetic appearance. The technique restores the mechanical balance of the lip-nasal complex, and delivers improved ventilation together with natural and long-lasting repair outcomes.


















