旋转交叉推进瓣在单侧完全性唇裂鼻唇畸形整复中的应用  

Using rotation cross-advancement flap for repairing complete unilateral cleft lip and nasolabial deformity

作　　者：茅传青 卢萌[1] 赖永圳 王承勇[1] 陈伟辉[1] Mao Chuanqing;Lu Meng;Lai Yongzhen;Wang Chengyong;Chen Weihui(Department of Stomatology,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院口腔科,福州350001

出　　处：《中华口腔医学杂志》2021年第7期697-700,共4页Chinese Journal of Stomatology

摘　　要：为评价旋转交叉推进瓣法修复单侧完全性唇裂的鼻唇畸形的疗效,本研究回顾性纳入2018年10月至2019年7月就诊于福建医科大学附属协和医院口腔科采用旋转交叉推进瓣进行单侧完全性唇裂修复的患儿6例,通过数码照片分析采集患者术前、术后即刻、术后1个月及术后1年复诊时唇高、唇长、鼻孔高度、鼻孔宽度、鼻孔面积等信息以评价该术式的疗效。本研究中6例患儿术前健患侧唇高比2∶1,健患侧鼻孔高度比值约2∶1,但鼻孔宽度及鼻孔面积比却为1∶2~1∶3。术后健患侧唇高比近1∶1,鼻孔形态对称、鼻唇沟形态对称、鼻堤形态良好、术后瘢痕不明显,未见明显切口不良愈合。旋转交叉推进瓣在单侧完全性唇裂患者鼻唇畸形整复上是一种安全可靠的术式。To evaluate the efficacy of rotation cross-advancement flap method in repairing the nasolabial deformity of complete unilateral cleft lip.A retrospective study was performed to analyze the children who were treated by using the rotating cross-advancement flap for repairing the complete unilateral cleft lip at the Fujian Medical University Union Hospital from October 2018 to July 2019.The clinical data such as patient′s lip height,lip length,nostril height,nostril width,nostril area and so on were collected at the pre-operation,post-operation and following-up visits respectively and used to evaluate the efficacy of the treatment.Six children were included in the present study.The ratios of lip height on noncleft side to cleft side were 2∶1 at the pre-operation time.The ratios of nostril height on the noncleft side to the cleft side were about 2∶1.The ratios of the width and the area of the nostril were 1∶2 to 1∶3.At the post-operation time,the ratios of length and height of the lip at the cleft side to the noncleft side were around 1∶1.The shape of the nostrils and nasolabial fold were almost symmetrical between the cleft side and noncleft side.The shapes of the nasal sill were acceptable and the postoperative scars were not obvious.There were no obvious incision healing complications and the treatment effects were satisfactory.Rotation cross-advancement flap method was safe and reliable for repairing the nasolabial deformities in children with complete unilateral cleft lip.

关 键 词：唇裂 单侧完全性唇裂 鼻堤 鼻畸形 鼻底重建 旋转交叉推进瓣 

分 类 号：R782.2[医药卫生—口腔医学]