摘要
目的探讨三叶瓣形切口设计联合唇鼻肌肉张力系统构建用于治疗单侧唇裂的效果。方法对2015年1月至2017年12月整形外科医院收治264例单侧唇裂患者,男162例,女102例,年龄95~153 d,采用三叶瓣术式结合唇鼻肌肉张力系统构建术进行修复治疗。术后拍摄随访照片并选取统一的标记点,通过3组指标的测量对比患侧与健侧的唇鼻形态。结果所有患者切口均一期愈合,未发生血运障碍。对其中112例患者的术后随访照片进行分析,唇峰高度差百分比为(2.98±1.65)%,双侧鼻孔横径比为1.02±0.05,双侧鼻孔纵径比为0.94±0.04。患者术后唇鼻部形态良好,患侧唇峰下降充分,双侧鼻孔对称性改善明显,且患侧切口瘢痕与健侧人中嵴基本对称。结论对于单侧唇裂患者,三叶瓣形切口设计联合唇鼻部肌肉张力系统构建可获得良好、稳定的治疗效果。
Objective This study is to investigate the outcome of unilateral cleft lip repairment using trilobate flap and nasal-labial muscle tension system reconstruction. Methods From January 2015 to December 2017, 264 children with unilateral cleft lip were performed cheiloplasty. For all the patients, trilobate flap was adopted. The tension lines group among nasal-labial muscles were reconstructed following a three-dimensional pattern. Long-term results were evaluated using postoperative photos. Three measurements were collected, to compare the nasolabial contour on the cleft side and noncleft side. Results Six to 12 months follow-up was completed in 112 patients. Asymmetry percentage of lip height was (2.98±1.65)%, while nostril width ratio was 1.02±0.05, and nostril height ratio was 0.94±0.04. Aesthetic contour of vermillion and philtrum were satisfied. Conclusions Trilobate flap technique combined with the reconstruction of nasal-labial muscle tension system have reliable effect on unilateral cleft lip repair. With proper application, satisfactory and stable outcomes can be achieved.
作者
孙维绎
王永前
宋涛
吴镝
李海东
尹宁北
Sun Weiyi;Wang Yongqian;Song Tao;Wu Di;Li Haidong;Yin Ningbei(Center of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, Chinn)
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2019年第1期6-11,共6页
Chinese Journal of Plastic Surgery
关键词
外科皮瓣
三维重建
唇鼻肌肉张力系统
单侧唇裂
Surgical flap
Three-dimensional reconstruction
Nasal-labial Muscle Tension Lines Group
Unilateral cleft lip
