特殊大口畸形整复手术方法探讨  

Explore the surgical procedure to repair special macrostomia

作　　者：邹升帆[1] 彭君强[1] 蒋煜青[1] 黄敏志[1] 

机构地区：[1]梅州市人民医院整形外科,广东梅州514031

出　　处：《中国美容医学》2009年第5期637-638,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨修复特殊大口畸形的一种新方法。方法:对于特殊大口畸形,应首先恢复口角位置,然后修整上唇长度、红唇和唇高。测量口角恢复正常位置后至唇珠的长度并且两侧长度基本相等,根据所测量的上唇长度对上唇的畸形部位沿唇线切开分离后形成"Z"形的唇红瓣,再进行对偶缝合弥补唇高不足,对口轮匝肌进行修整归位缝合以填补组织缺失,避免唇红凹陷。结果:施行手术9例,特殊大口畸形的口角基本恢复到正常位置,上唇长度和红唇基本对称,唇高适中,大口得到缩小,闭唇时齿不外露,修复后切口无明显瘢痕增生,整形美容效果良好。结论:本术式首先恢复口角正常位置,在口角恢复正常位置后对唇红、唇高等部位进行改形,重点在形态美方面修整,是修复特殊大口唇畸形的较理想方法。Objective To explore a new method to repair special macrostomia. Methods For patients with special macrostomia, we should first return angulus oris to normal position, and then trim the length of the upper lip, vermilion of the lip and height of the lip. The pre-operative length between vermilion tubercle and the normal position of angulus oris was measured, and so basically the same on both sides of the length. According to the length of upper lip,upper lip deformities were incised along labial line and formed multiple ＂Z＂-shaped Vermilion Flap. The flaps were dual stiched to make up for the height deficient of the lip. orbicularis oris muscle trimed and sutured in normal position to fill the tissue defect and avoid depression Vermilion. Results The macrostomia of 9 cases were repaired without obviously scar accrementition. The cosmetic result were satisfactory that angulus oris of special macrostomia return to normal position, the length of upper lip and Vermilion were basic symmetry, the height of lip was moderate, big mouths were obviously narrowed, and the teeth were not exposed when lips closed. Conclusion The surgical procedure which focus on trim on morphous aspect first return angulus oris to normal position and then carry out on the Vermilion and height of lip Reshaping. It is an ideal new method to repair macrostomia.

关 键 词：大口畸形 口角 “Z”改形 

分 类 号：R782.2[医药卫生—口腔医学]