利用唇颊部组织修复双侧唇裂术后唇、鼻畸形  

Correction of the lip and nasal deformities after the repair of bilateral cleft lip by using the tissue in lip and buccal division

作　　者：金玉丹[1] 王绥江[1] 罗少军[1] 梁杰[1] 

机构地区：[1]广东医学院附属医院整形外科研究所,广东湛江524001

出　　处：《中国美容整形外科杂志》2008年第6期408-410,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨Ⅰ期纠正双侧唇裂修复术后唇、鼻畸形的手术方法。方法利用前唇和瘢痕外侧唇、颊部皮肤软组织的弹性和可移动性,将前唇上移及唇、颊组织向内侧推进,Ⅰ期修复唇部组织缺损、鼻小柱短小以及鼻孔宽大等畸形。结果临床治疗17例,术后切口均Ⅰ期愈合。随访6～17个月,唇、鼻部形态显著改善。上唇丰满,红唇稍外翻。两侧鼻翼、鼻孔对称,鼻小柱居中,效果满意。结论对前唇外侧皮肤软组织丰厚、弹性大且上颌无明显塌陷的患者,充分利用唇颊部组织,可同时对唇、鼻部畸形进行矫治。Objective To study the treatment of the lip and nasal deformities after the repir of bilateral cleft lip or bilateral cleft lip and palate. Methods After making a thorough understanding of the structural pathology underlying the morphologic abnormalities, we formulated a surgical method to correct both lip and nasal deformities by diverting local tissues in one stage, advancing prolabium to lengthen the columella, delivering lip and cheek tissues medially to reposit alar base and reshape the nostrils. Results All of 17 patients showed one - stage healing and significant improvement in appearance of their noses and lips. They were followed up for 6- 17 months and were satisfied with the effects. Conclusion For the patients whose midfaces are well developed and local tissue are abundant and elastic in the upper lip and cheek, transposition of local tissues from lip and cheek is one way for managing lip and nasal deformities in bilateral cleft lip.

关 键 词：双侧唇裂 唇 鼻 继发畸形 

分 类 号：R782.2[医药卫生—口腔医学] R765.9[医药卫生—临床医学]