改良三角瓣法修复单侧不完全性唇裂25例  

Improved triangular flap for repair of incomplete unilateral cleft lip: report of 25 cases

作　　者：朱云琳[1] 程新德[1] 杜金[1] 张莉[1] 马红丽[1] 

机构地区：[1]蚌埠医学院第二附属医院整形外科,安徽蚌埠233040

出　　处：《蚌埠医学院学报》2015年第3期334-336,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨改良三角瓣法修复单侧不完全性唇裂的治疗效果。方法:对25例单侧不完全性唇裂患者采用改良三角瓣法修补术,手术定点参考健侧人中嵴,唇红缘上皮肤小三角瓣加唇上方弧形切口,分离鼻翼基底的肌肉,重建完整口轮匝肌肌环,并保持唇高一致。结果:鼻孔对称;瘢痕位于人中嵴处;唇弓形态自然;红唇饱满;25例手术效果均满意。结论:改良三角瓣法术后唇鼻部对称,外形自然,是修复单侧不完全性唇裂简单有效的手术方法。Objective： To investigate the therapeutic effect of improved triangular flap in repairing the unilateral incomplete cleft lip.Methods： Twenty-five patients with unilateral incomplete cleft lip were treated with the improved triangular flap. The contralateral philtrum ridge acted as a reference in fixing the surgery point; the nasal alar basal muscles were separated,a complete orbicularis oris muscle ring was reconstructed and the two sides of the lip were kept at the same height. Results： The operation was successful in all the cases. The nostrils were in symmetry,the scars were at the philtrum ridge,the labial archs in good shape and the rosylips well-stacked.All the twenty-five patients were satisfied with the results. Conclusions： The improved triangular flap may present a symmetrical nasolabial region and natural shape. It is an effective procedure for repair of the unilateral incomplete cleft lip

关 键 词：唇裂 唇裂修复术 三角瓣 

分 类 号：R782.21[医药卫生—口腔医学]