唇裂的鼻小柱侧面皮瓣修复法  

Cleft lip repair using a lateral columellar flap

作　　者：宋儒耀[1] 柳春明[1] 马海欢[1] 赵宇[1] 郑行跃[1] 赵茹[1] 景伟明[1] 谢洋春[1] 修志夫[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院,北京100041

出　　处：《中华整形烧伤外科杂志》1999年第5期325-328,共4页

摘　　要：目的为唇裂患者塑造一个正常唇的美好形态。改进现在常用的手术对人中嵴、人中窝和朱缘弓这三个重要美容结构的塑造中的缺欠,使修复后的上唇丰满、松动。方法在鼻小柱裂侧面形成一个矩形瓣,将其与人中一起垂直下降,补充裂侧唇人中的长度不足和保持朱缘弓在下降的正常位。结果 3年来,共用新法修复单侧唇裂23例,双侧唇裂9例,继发唇裂畸形14例。都没有常用方法的缺点。结论唇裂的鼻小柱侧面皮瓣修复法是较常用手术更符合整形外科从隐蔽处采取组织来修复组织缺损的原则的新方法,可以取得更好的形态效果。Objective Since the important cosmetic structures of a good looking lip,viz.the philtrum column,philtrum dimple and Cupid's bow of a cleft lip repaired with the commonly used meth- ods,are still defective in various degrees,a new method is designed.Methods On the medial side of the cleft,the short philtrum is lengthened and the upwardly displaced Cupid's bow maintained in a lowered position by a rectangular flap transplanted from the lateral surface of the columella.No lip flap has been formed on the lateral side of the cleft.Results In a period of three years (1996～1998),23 cases of uni- lateral cleft lip,9 cases of bilateral cleft lip and 14 cases of secondary deformities of cleft lip have been re- paired with this new method.All of the repaired lips have normal looking philtrum column (limitated by an uninterrupted straight-line scar),philtrum dimple and Cupid's bow.Conclusion The lateral columel- lar flap method is a more rational surgical procedure for cleft lip repair in that it repairs tissue defect by transplanting tissue from the unexposed area.The appearance of the repaired lip is better than that of the commonly used methods.

关 键 词：唇裂 修复术 鼻小柱瓣 治疗 

分 类 号：R782.21[医药卫生—口腔医学]