单侧唇裂患儿行改良Mohler法修复的临床效果研究  

Clinical Effect of Modified Mohler Repair for 70 Children with Unilateral Cleft Lip

作　　者：倪进兵 NI Jin-bing(Department of Stomatology, Anhui Children's Hospital,Hefei 230051,Anhui,China)

机构地区：[1]安徽省儿童医院口腔科,安徽合肥230051

出　　处：《中国美容医学》2018年第12期113-115,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨改良Mohler法修复单侧唇裂的临床效果,为临床治疗提供参考。方法:选取笔者医院2015年1月-2018年6月就诊的70例单侧唇裂患儿,年龄3～17个月,平均(7.5±2.2)个月,均接受改良Mohler法修复,术后由颌面外科资深医师评估手术修复美观效果,并测量手术前后裂隙两侧唇长、唇高、人中嵴高度、鼻小柱基底等唇鼻外观形态参数。结果:70例单侧唇裂患儿均成功完成改良Mohler术,术后愈合较好,未出现感染、裂开等并发症。一期修复效果优良率为92.86%,双侧唇高/宽/长度、鼻底宽度、鼻孔大小等协调对称,5例修复欠佳者行二期修复,唇鼻形态逐渐恢复正常;术前健患侧唇长、唇高、鼻底宽度、鼻小柱高度、人中嵴高度比较,均有显著性差异,具有统计学意义(P<0.05),术后1周拆线测量,健、患侧上述唇鼻外观形态参数比较,无显著性差异(P>0.05)。结论:改良Mohler法能有效修复单侧唇裂患儿的唇鼻外观形态,可作为临床治疗的参考方案。Objective To explore the clinical effect of modified Mohler in the repair of unilateral cleft lip,and provide reference for clinical treatment.Methods Seventy children with unilateral cleft lip,aged from3months to17months,with an average of(7.5±2.2)months,were selected from January2015to June2018.All the patients were repaired by Mohler's method in our hospital.Senior surgeons of maxillofacial surgery evaluated the aesthetic effect of the operation.The appearance parameters of lip and nose,such as the length of lip,the height of middle ridge,the base of nasal columella,were measured before and after the operation.Results Modified Mohler procedure was successfully performed in70children with unilateral cleft lip.The postoperative healing was good without complications such as infection and cleft lip.The excellent and good rate of stage I repair was92.86%.The height/width/length of bilateral lip,the width of nasal base and the size of nostril were coordinated and symmetrical.Five cases of poor repair underwent stage II repair,and the shape of lip and nose gradually returned to normal.There was no significant difference in the appearance parameters of lip and nose on the affected side(1W)after surgery(P>0.05).Conclusion Modified Mohler method can effectively repair the appearance of lip and nose in children with unilateral cleft lip,and can be used as a reference for clinical treatment.

关 键 词：单侧唇裂 改良Mohler法 修复效果 口鼻形态 

分 类 号：R782.21[医药卫生—口腔医学]