单侧唇裂继发畸形的美学修复  

Esthetic repair of secondary deformities of unilateral cleft lip

作　　者：李丽雅[1] 施生根[1] 耿卫艳[1] 

机构地区：[1]解放军第306医院颌面外科,北京100101

出　　处：《中华医学美学美容杂志》2008年第6期376-378,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨单侧唇裂继发畸形与Ⅰ期手术方式选择的关系，以及进行唇裂继发畸形美学修复的策略。方法选择单侧继发唇裂120例，根据Ⅰ期采用的不同术式进行分组，对唇裂畸形进行观察和分析，采用个体化设计，进行美学修复。对采用Millard、Tennison、矩形瓣及上三角瓣法的单侧唇裂继发畸形修复后，观察上唇人中窝形态、瘢痕、唇峰形态的恢复。结果显示原采用Millard方法、上三角瓣方法优于Tennison方法和矩形瓣方法。Ⅱ期修复术后效果满意。结论单侧唇裂Ⅰ期采用的手术方式对继发畸形的程度和修复有显著影响。Objective To explore the relationships between secondary deformities of unilateral cleft lip and selection of mode of initial operation, as well as strategy of esthetic repair for cleft lip. Methods 120 cases of secondary deformities of unilateral cleft lip were selected and grouped according to initial adopted modes of different operation. The deformities of lip and nose were observed and analysed in order to make esthetic repair with individualized design. After repair with upper triangle flap, rectangle flap, Millard＇s and Tennison＇s procedures for secondary deformities of unilateral cleft lip, shape of phihrum dimple, scar, and resumption of shape of cupid＇s bow were observed and compared. Results Millard＇s and upper triangle petal＇s methods were better than Tennison＇s and rectangle flap methods. Conclusion Initially adopted operation mode for unilateral cleft lip has remarkably affected the repair of secondary de fortuities.

关 键 词：单侧唇裂继发畸形 手术方式 美学修复 

分 类 号：R782.2[医药卫生—口腔医学]