23例大口畸形患者口角蜗轴重建  

The treatment of 23 patients with macrostomia by modified modiolus reconstruction

作　　者：钟毅[1] 温裕庆[1] 傅丽琴 杨川[2] 黎秋生 Zhong Yi;Wen Yuqing;Fu Liqin;Yang Chuan;Li Qiusheng(The First Hospital of Longyan City,Fujian Province,Longyan 364000,China)

机构地区：[1]福建省龙岩市第一医院烧伤整形科,364000 [2]上海市第九人民医院

出　　处：《中华整形外科杂志》2018年第12期1041-1044,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探索一种较符合口裂生理美学特点的大口畸形整复方法。方法通过重建口轮匝肌环,并锚着口周表情肌、恢复患侧口角蜗轴、适当内移患侧口角定点、设计锯齿状切口等方法修复23例大口畸形患者。结果随访半年至8年,均未出现明显瘢痕增生及挛缩。1例第一、二鳃弓综合征致中度大口畸形患儿,术后随年龄增长,面部不对称明显,口角再次斜向患侧。其余22例大口畸形患者术后双侧口角静止及微笑时均对称,弧度自然,未出现再次开裂或瘢痕挛缩致口角缩小的情况,获得良好美学效果。结论重建、恢复患侧口角蜗轴、适当内移口角定点、设计皮肤锯齿状切口等修复大口畸形的方法不仅在皮肤表面实现了缩小口裂、达到静态美的效果,而且因重建了口周肌肉,恢复了运动时的肌群平衡,达到了动态美。Objective To explore a method for macrostomia repairment,in order to to achieve better physiological and aesthetic outcomes.Methods 23 patients with maerostomia were treated by standard procedure:including orbieularis otis reconstruction,perioral expression muscles fixation, modiolus reconstruction,commissure point shift,and "w"shape incision.Results 22 cases obtained both static and dynamic symmetrical outcomes.One ease developed asymmetrically.Conclusions .The maerostomia repairment following present standard procedure,is likely to achieve both static and dynamic satisfactory outcomes,due to balaneed perioral muscles.

关 键 词：大口畸形 口角蜗轴 

分 类 号：R622[医药卫生—整形外科]