双侧V-Y红唇黏膜瓣推进法在下唇侧唇珠成形术中的应用  

Application of double V-Y advancement of mucosal flap procedure for lower-lip paramedian tubercles plasty

作　　者：武思乔 龙艳 林恒如 陈静[1] 郝光 曹培 潘柏林[1] Wu Siqiao;Long Yan;Lin Hengru;Chen Jing;Hao Guang;Cao Pei;Pan Bailin(Department of Plastic Surgery,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院成形外科,北京100191

出　　处：《中华医学美学美容杂志》2021年第3期173-176,I0001,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨双侧V-Y红唇黏膜瓣推进法,在下唇侧唇珠成形术下唇过薄合并下红唇形态不佳患者唇形改进的效果。方法2013年3月至2019年12月,北京大学第三医院成形外科为自觉下唇过薄合并下红唇形态不佳、无明显侧唇珠结构的美容就医者127例[女126例,男1例,年龄18~53(28.9±6.8)岁]施行双V-Y推进法下唇侧唇珠成形术,测量术前后唇部形态,并进行主观满意度调查及远期随访。结果对患者术后3个月以及术前的标准化二维照片进行测量,下红唇中央高度、下唇侧唇珠高度及下唇侧唇珠突出度较术前显著增加。分别于术后7 d、3~24个月随访,患者初次手术满意度73.2%。术后消肿时间6~32(15.2±3.5)d;切口瘢痕软化时间2~10(5.1±2.3)个月;表情恢复自然时间1~7(3.1±0.9)个月;麻木感消失5 d至24个月[(158.2±82.6)d]。结论双V-Y红唇黏膜瓣推进法在下唇侧唇珠成形术中可达到丰满下唇体积、改善下唇唇形的目的,术后形态保持良好,值得临床应用。Objective To prove the effect of double V-Y procedure for paramedian tubercles plasty in patients with thin lower lips and dissatisfied appearance of lower lips.Methods From 2013 to 2019,127 Chinese cases of thin and dissatisfied appearance of lower lips were included.A double V-Y procedure for paramedian tubercles plasty was performed.Objective data of lip morphology before and after operation were measured,and subjective satisfaction survey and long-term follow-up were conducted.Results The midline lower red lip height,the height of paramedian tubercles of lower-lip and the protrusion of lower-lip were significantly higher than that before the operation.The time of apocatastasis,scar softening of incision,natural expression recovery and local numbness relief were evaluated by following up at 7 d,and 3-24 months after operation,and it showed 73.2%of subjective satisfaction.The time of detumescence was 6-32(15.2±3.5)days;the time of incision scar softening was 2-10(5.1±2.3)months;the time of expression recovery was 1-7(3.1±0.9)months;the time of numbness disappearance was 5 d-2 years(158.2±82.6)days.Conclusions The double V-Y advancement of vermilion mucosa flap procedure for paramedian tubercles plasty displays a significant effect in improving volume and shape of lower lips.It is recommended for further clinical application.

关 键 词：唇 红唇黏膜瓣 V-Y推进法 侧唇珠成形 丰唇 

分 类 号：R782.2[医药卫生—口腔医学]