口轮匝肌肌瓣瓦合法在单侧唇裂一期修复中的应用  

Application of orbicularis oris muscle overlapping in the primary repair of unilateral cleft Lip

作　　者：梁赟[1] 杨育生[1] 吴忆来[1] 张勇[1] 王国民[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,上海市口腔医学重点实验室,上海200011

出　　处：《中国口腔颌面外科杂志》2015年第1期28-30,共3页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(81070813);上海市科学技术委员会资助项目(08DZ2271100)~~

摘　　要：目的 ：探讨单侧唇裂一期修复中应用口轮匝肌肌瓣瓦合法重建人中嵴的疗效。方法 ：收集我科2013年1月—6月收治的单侧唇裂患儿52例,男41例,女11例;月龄3~72个月,中位月龄5个月,平均7.4个月。于全麻下行一期唇裂修复术（改良MillardⅢ式）时,在口轮匝肌功能复位的基础上,行瓦合法缝合患侧人中嵴处口轮匝肌,造成患侧人中嵴处口轮匝肌增厚,形成隆起的人中嵴外观。结果：术后切口均一期愈合,所有患儿随访9~14个月,平均11.4个月;重建人中嵴形态逼真,与健侧人中嵴基本对称,形态满意。结论：单侧唇裂一期修复时,在口轮匝肌功能复位的前提下,行人中嵴处口轮匝肌瓦合法缝合,使人中凹显现,重建人中嵴,可使上唇外形更为逼真、生动,值得临床推广应用。PURPOSE： To investigate the effectiveness of the orbicularis oris muscle overlapping of philtrum ridge reconstruction for primary cheiloplasty of unilateral cleft lip. METHODS： Between January 2013 and June 2013, fifty-two patients with unilateral cleft lip were significantly treated. There were 41 males and 11 females with a median age of 5months and an average age of 7.4 months（ranged from 3 to 72 months）. Primary cheiloplasty（modified Mallard Ⅲ） was conducted under general anesthesia. On the basis of functional replacement of orbicularis oris muscle, overlapping was used to increase the muscular thickness equivalent as prominent philtrum ridge. RESULTS： All incisions healed primarily. Good aesthetic results were observed in all 52 cases with satisfactory philtrum appearance during the 9-14months（average： 11.4 months） of follow up. CONCLUSIONS： Overlapping of orbicularis oris muscle can create philtrum ridge and dimple with natural appearance, which is worth of wide clinical application.

关 键 词：口轮匝肌 瓦合 唇裂一期修复 

分 类 号：R782.2[医药卫生—口腔医学]