大口畸形整复的研究进展  

Research Progress of Reconstructive Surgery for Macrostomia

作　　者：舒凯翊 赵久丽 SHU Kaiyi;ZHAO Jiuli(Plastic Surgery Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院,北京市100144

出　　处：《组织工程与重建外科杂志》2020年第1期70-72,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：大口畸形是一种较罕见的先天颌面畸形,常伴有颜面的其他畸形,系由胚胎发育时期上颌突与下颌突融合不全或未融合所致。可单独存在,也可作为多种综合征的主要表现之一。大口畸形的整复方法众多,其中直线法、"Z"成形术最为常用,还有对偶三角皮瓣法、矩形皮瓣法、"W"成形法等。本文回顾了大口畸形的分类、解剖结构、手术方法,希望在此基础上探索出一种无论是静态还是动态时,口角能基本对称,且瘢痕不明显的整复方法。Macrostomia is kind of a rare congenital maxillofacial deformity,which is often accompanied by other facial deformities.This disease is mainly due to incomplete fuse of maxillary and mandibular processes during embryonic development.It can exist lonely or as one of the main manifestations of syndromes.There are many methods to repair this deformity.Straightline method and Z-plasty are commonly used.Other methods include triangular skin flap,rectangular skin flap and W-plasty.In this paper,the classification,anatomical structure and surgical methods of macrostomia were reviewed to explore a reconstructive method,the scar of which is not obvious and the mouth is symmetrical in both static and dynamic conditions.

关 键 词：大口畸形 面横裂 “Z”成形 

分 类 号：R726.2[医药卫生—儿科]