矩形黏膜瓣结合肌肉功能重建在修复面横裂中的应用  

Clinical Application of Rectangular Mucosal Flap Combined with Muscle Function Reconstruction for Repairing Transverse Facial Cleft

作　　者：余学元 刘宗辉 刘翔宇[1] 何林 舒茂国[1] YU Xueyuan;LIU Zonghui;LIU Xiangyu;HE Lin;SHU Maoguo(Department of Aesthetic Plastic and Craniofacial Surgery,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,Shaanxi,China;Department of Burn Plastic and General Surgery,988 Hospital,Zhengzhou 450000,Henan,China)

机构地区：[1]西安交通大学第一附属医院整形美容颌面外科,陕西西安710032 [2]第988医院烧伤整形普外科,河南郑州450000

出　　处：《中国美容医学》2023年第12期5-8,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨矩形黏膜瓣结合肌肉功能重建在面横裂矫正中的应用效果。方法:回顾总结分析2016年12月-2021年12月西安交通大学第一附属医院整形美容颌面外科收治的19例面横裂患者,均采用矩形黏膜瓣结合肌肉功能重建修复。通过术后并发症、张口或闭口时口角形态对称性及术后瘢痕情况等评价术后静态及动态效果。结果:19例患者均无张口受限、闭口流涎、口角裂开、血肿、感染等并发症。术后患侧口角位置较术前明显改善,双侧口角位置偏差平均为(2.26±1.24)mm。术后瘢痕的平均宽度为(1.89±0.88)mm,视觉模拟量表评分平均为(1.61±1.12)分。患者及其监护人均对手术效果表示满意。结论:采用矩形黏膜瓣结合肌肉功能重建的方法修复面横裂畸形,可实现唇部运动功能协调、自然,又能使口唇形态对称、美观。Objective To explore the clinical effect of rectangular mucosal flap combined with muscle function reconstruction for repairing transverse facial cleft.Methods The clinical data of 19 patients with transverse facial cleft who underwent rectangular mucosal flap and muscle function reconstruction in the Plastic Surgery and Maxillofacial Surgery Department of the First Affiliated Hospital of Xi'an Jiaotong University from December 2016 to June 2021 were studied retrospectively.The static and dynamic effects were evaluated from three aspects:postoperative complications,the symmetry of bilateral commissures when the mouth was opened or closed,and the postoperative scar.Results None of the 19 patients had complications such as restriction of mouth opening,salivation,dehiscence of the commissures,hematoma and infection.The position of oral commissure was significantly improved after the operation,and the average deviation of the bilateral oral commissure was(2.26±1.24)mm.The mean width of postoperative scars was(1.89±0.88)mm,and the mean visual analogue scale score was 1.61±1.12.The patients and their guardians were satisfied with the surgical results.Conclusion The method of muscle function reconstruction combined with mucosal flap could achieve good therapeutic effect in the repair of transverse facial fissure,which could realize the coordination and and natural lip movement function,and make the morphology of lips symmetrical and beautiful.

关 键 词：面横裂 黏膜瓣 肌肉功能重建 皮肤缝合 修复效果 

分 类 号：R782[医药卫生—口腔医学]