双侧唇裂功能性修复87例临床观察  

Clinic observation of functional repair for Bilateral cleft lip

作　　者：肖文芝[1] 陈涌[1] 骆琦[1] 杨容[1] 

机构地区：[1]云南省第二人民医院口腔颌面外科,云南昆明650021

出　　处：《中国美容医学》2010年第2期197-199,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:利用双侧唇裂口轮匝肌解剖,探讨肌肉功能性修复的美容效果。方法:在双侧唇裂保持原长法的基础上,进行口轮匝肌功能重建,将裂隙两侧的口轮匝肌分离并向前唇中分移动恢复环匝肌的完整性,并行唇龈沟的再造及鼻底的封闭,唇红及唇珠利用侧唇的粘膜修复。结果:87例患者从年龄5个月～19岁,术后远期唇部外形满意,动态效果好,唇部瘢痕不明显,唇红丰满。结论:将侧唇中的口轮匝肌广泛分离及前唇前庭沟加深的双侧唇裂功能性修复,使唇外形美观,红唇丰满,远期动态效果好,值得临床上推荐。Objective To further research the characteristics of the anatomy structure of orbicular muscle in the bilateral cleft lip,to evaluate aesthetic result of muscle functional repair. Methods The chief design principle was keeping the length of prolabium. During surgerical operation,orbicular oris need to be sufficiently dissociated from lateral labial segment and functional reconstructed in the middle of prolabial, labial sulcus and the floor of nasal are synchronously corrected,median tubercle and vermilion-cutaneous ridge are formed from lateral tip tissue. Results 87 patients who suffered from bilateral cleft lip were treated;aged from 5 months to 19 years,all parts of upper lip coordinate when the orbicular muscles move, the upper lip and nasal contours on quiet and dynamic state were satisfactory without unsightly scar. Conclusion It is a recommended processure to obtain further moving effect and perfect lip appearance using functional orbicular muscle repair and deepening prolabial vestibulum.

关 键 词：唇裂 口轮匝肌 功能修复 

分 类 号：R782.21[医药卫生—口腔医学]