改良鬼冢法治疗单侧唇裂术后短期唇峰高度的对称性分析  

Symmetry analysis of short-term lip peak height after unilateral cleft lip repair with modified Onizuka method

作　　者：迟浩姝 詹宗历 赵志扬 蔡鸣[1] CHI Hao-shu;ZHAN Zong-li;ZHAO Zhi-yang;CAI Ming(Department of Oral and Craniomaxillofacial Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology.Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颅颌面科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011

出　　处：《中国口腔颌面外科杂志》2022年第6期560-564,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：上海交通大学医学院附属第九人民医院教学课题(JYYX01202102)。

摘　　要：目的:探讨改良鬼冢法治疗单侧唇裂术后短期内双侧唇峰高度的变化并评价其对称性。方法:选择2021年9月—2021年12月上海交通大学医学院附属第九人民医院采用改良鬼冢法进行一期单侧唇裂修复的患儿19例。利用Adobe Photoshop CC软件,通过照片资料定点测量分析患儿术后即刻、术后1个月双侧唇峰高度的差值及术后上唇形态的改变。采用SPSS 22.0软件包对数据进行统计学分析。结果:患儿健患侧唇峰高度的差值术后即刻和术后1个月分别为(0.40±0.35)和(0.53±0.40)mm,两者差异无统计学意义(P>0.05)。患儿双侧上唇基本对称,人中嵴协调美观。结论:改良鬼冢法是修复单侧唇裂的一种有效方法,术后短期双侧唇峰基本对称。PURPOSE:To explore the surgical technique of modified Onizuka cheiloplasty for the changes of bilateral lip peak heights and evaluate the postoperative symmetry in a short time.METHODS:Charts of 19 unilateral cleft lip patients who were repaired by modified Onizuka in Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine from September 2021 to December 2021 were retrospectively reviewed.The differences of bilateral lip peak heights immediately and one month after surgery and the changes of upper lip morphology were analyzed.The distance was measured by Adobe Photoshop CC software through photos.SPSS 25.0 software package was used for data analysis.RESULTS:The difference of lip peak height between the healthy side and the affected side was(0.40±0.35)mm and(0.53±0.40)mm immediately and 1 month after operation,respectively,there was no significant difference(P>0.05).It was found that the cupid’s bow was rebuilt in a natural form and the configuration of the upper lip was reconstructed symmetrically.The philtrum column was not disturbed by the small triangle flap.CONSLUSIONS:Modified Onizuka is an effective way for repairing unilateral cleft lip.

关 键 词：单侧唇裂 改良鬼冢法 唇峰高度 对称性 

分 类 号：R783.5[医药卫生—口腔医学]