双侧微小唇裂整复方法的回顾性观察  

Postoperative evaluation of bilateral micro-form cleft lip:23 cases

作　　者：吴忆来[1] 梁赟[1] 万腾[1] 王国民[1] 杨育生[1] 陈阳[1] Wu Yilai;Liang Yun;Wang Teng;Wang Guomin;Yang Yusheng;Chen Yang(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,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,上海市口腔医学院重点实验室

出　　处：《中国口腔医学继续教育杂志》2023年第3期215-220,共6页Chinese Journal of Stomatologial Continuing Education

摘　　要：目的:探讨双侧微小唇裂的手术方法并评价手术效果。方法:纳入2009年1月至2020年12月间于上海第九人民医院唇腭裂治疗研究中心行双侧微小唇裂整复术的患者共23例,通过照片资料来评价唇弓形态的对称,唇红的对称性,唇珠的饱满度。结果:唇红用直线法修复为11例,V-Y滑行推进瓣法为2例,侧唇瓣转移修复的为10例。从随访的结果来看,用侧唇瓣的患者评分最高,其次为直线缝合者,V-Y成形术虽然只有2例,但在术后的各项评价中分值都不高。结论:唇珠欠饱满是双侧微小唇裂患者术后最大的问题,用侧唇瓣的修复方法要比单纯的直线缝合和V-Y术式所取得的术后效果更为理想。Objective:To investigate the surgical approach to bilateral micro-form cleft lip and to evaluate the results.Methods:A total of 23 patients who underwent the bilateral micro-form cleft lip revision in our cleft lip and palate treatment and research center between January 2009 and December 2020 were evaluated by photographic data for symmetry of cupid’s bow,vermilion symmetry,and vermilion notching.Results:The cleft lip was repaired by the linear method in 11 cases,the V-Y advanced flap in 2 cases,and the bilateral vermilion musculomucosal sliding flaps(VMSF)in 10 cases.From the results of the follow-up,the patients with VMSF had the highest scores,followed by those with linear sutures,and V-Y procedure,although only 2 cases,had low scores in all postoperative evaluations.Conclusions:The vermilion notching is the biggest postoperative problem in patients with bilateral micro-form clefts,and the repair method with VMSF is more desirable than the postoperative results achieved by the simple linear suture and V-Y procedure.

关 键 词：微小唇裂 双侧唇裂 手术方法 对称性 评估 

分 类 号：R78[医药卫生—口腔医学]