前唇皮下组织瓣修复双侧唇裂术后继发口哨畸形和鼻底凹陷  

Correction of secondary lip whistle deformities and nasal base depression after bilateral cleft liprepair with lip subdermal soft tissue flap

作　　者：田孝臣[1] 吕晓杰[1] 胡晓春[1] 陈俊男[1] 崔立龙[1] 刘莹[1] 刘会娜[1] 

机构地区：[1]第二炮兵总医院烧伤整形科,北京100088

出　　处：《中华整形外科杂志》2013年第3期164-167,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探求一种新的修复口哨畸形和鼻底凹陷方法，提高双侧唇裂术后继发畸形治疗效果。方法应用前唇上方皮下组织双侧c瓣修复鼻底凹陷畸形，两侧口轮匝肌向中线对合，重建口轮匝肌连续性，同时前唇下方皮下组织^瓣向内下翻转再造唇珠。结果2010年6月至2012年1月，采用上述方法修复双侧唇裂继发口哨畸形和鼻底凹陷30例，所有病例术后全部一期愈合，经3—18个月随访，鼻底、唇部形态明显改善，唇珠明显，上唇形态自然，与下唇关系协调。结论前唇上方皮下组织双侧c瓣及前唇下方皮下组织^瓣，可以改善鼻底凹陷，加强唇珠形态；两侧口轮匝肌在中线对位缝合可以重建口轮匝肌连续性。Objective To explore a new method to correct secondary lip whistle deformities and nasal base depression after bilateral complete cleft lip （BCCL） repair with lip subdermal soft tissue flap. Methods Bilateral subdermal soft tissue ＂C＂ flaps and ＂ A ＂ flap were designed to repair secondary deformities of nasal base and reconstruct vermilion tubercle in patients after BCCL repair. Results Goodresults were achieved in all the patients with primary healing. No flap necrosis happened. The result was satisfactory. Conclusions With bilateral subdermal soft tissue ＂C＂ flaps and ＂ A ＂ flap, nasal base depression deformities and lip whistle deformities can be corrected. It is an ideal method for correction of deformities after BCCL repair

关 键 词：双侧唇裂 外科皮瓣 畸形 口轮匝肌 

分 类 号：R7[医药卫生—临床医学]