保留鼻小柱基底切口法的改良上唇缩短术的效果  

Effect of modified upper lip lifting by retaining nasal columellar base incision

作　　者：倪云志 徐航 朱莎 杨硕 孟翻 闫娜 郎赟 Ni Yunzhi;Xu Hang;Zhu Sha;Yang Shuo;Meng Fan;Yan Na;Lang Yun(Chengdu High-tech Zone Xinyuerong Medical Aesthetic Clinic,Chengdu 610000,China)

机构地区：[1]成都高新心悦容医学美容门诊,成都610000

出　　处：《中华医学美学美容杂志》2021年第3期206-209,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨一种保留鼻小柱基底切口法的改良上唇缩短术的有效性。方法2019年6月至2020年6月,成都高新心悦容医学美容门诊对女性患者24例(年龄18~36岁,平均26.5岁)用保留鼻小柱基底切口联合双侧上唇皮瓣切除行上唇缩短术,对术后并发症、鼻唇角改善情况、上唇缩短效果、整体满意度进行评估。结果24例患者中,2例术后上唇麻木,4个月后恢复正常;切口瘢痕隐蔽,有效改善了传统上唇缩短的直线形瘢痕和瘢痕挛缩;随访3~12个月,24例均获得满意的上唇缩短效果。非常满意22例,占91.7%;满意2例,占8.3%。结论保留鼻小柱基底切口的上唇皮瓣改变了传统法上唇缩短手术切口,避免了传统手术方法可能引起的横向瘢痕、鼻唇部凹陷及上唇向中线挛缩,同时确保鼻小柱基底部血运不被破坏,使得瘢痕隐蔽、最小化,是一种安全有效的方法,值得临床应用。Objective To investigate the effectiveness of a modified upper lip lifting technique with retaining the nasal columellar base incision.Methods From Jun.2019 to Jun.2020,24 cosmetic patients(aged from 18 to 36 years,with mean 26.5 years)underwent upper lip lifting with skin flap resection of bilateral upper lip flaps and retained the nasal columellar base in Chengdu High-Tech Zone Xinyuerong Medical Aesthetic Clinic.These factors were analyzed,including postoperative complications,improvement of nasolabial angle,effectiveness of upper lip lifting and overall satisfaction.Results In the 24 patients,2 patients had numbness in the upper lip after surgery,and returned to normal after 4 months.The concealed scar was effective to improve the linear scar and scar contracture of traditional upper lip lifting.All patients were followed up for 3 months to 1 year.The satisfactory lifting effectiveness was obtained in 24 cases.As for overall satisfaction,22 cases were very satisfied(91.7%)and 2 cases were satisfied(8.3%).Conclusions This upper lip lifting surgical procedure of upper lip flaps with retaining the nasal columellar base incision has changed the traditional method to avoid the upper lip horizontal line scar,nasolabial angle contracture,while ensuring the columellar base blood supply is not damaged,with minimized and concealed scar.This surgical procedure is a safe and effective method and worth clinical application.

关 键 词：唇 外科皮瓣 上唇过长 保留鼻小柱基底切口 上唇缩短 

分 类 号：R622[医药卫生—整形外科]