改良Mulliken法矫治双侧唇裂术后鼻唇畸形的效果  

Application of modified Mulliken method in correction of secondary bilateral cleft lip nasolabial deformity

作　　者：谢莹 董哲 杨解纲 傅豫川[1,2] 钦传奇 李健[1,2] Xie Ying;Dong Zhe;Yang Jiegang;Fu Yuchuan;Qin Chuanqi;Li Jian(State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School/Hospital of Stomatology,Wuhan University,Wuhan 430079,China;Department of Oral and Maxillofacial Surgery,School/Hospital of Stomatology,Wuhan University,Wuhan 430079,China)

机构地区：[1]口颌系统重建与再生全国重点实验室、口腔生物医学教育部重点实验室、口腔医学湖北省重点实验室、武汉大学口腔医(学)院,武汉430079 [2]武汉大学口腔医学院口腔颌面外科,武汉430079

出　　处：《中华医学美学美容杂志》2024年第2期126-130,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨改良Mulliken法在矫治双侧唇裂术后鼻唇畸形中的术后效果。方法选取2020年10月至2022年10月,武汉大学口腔医院口腔颌面外科收治的双侧唇裂术后鼻唇畸形患者15例,男10例、女5例;年龄13~34(21.3±5.5)岁。用改良Mulliken法修复双侧唇裂术后鼻唇畸形,术后定期复查并拍摄二维照片,测量评估鼻唇部各项指标。结果15例患者术后均一期愈合,鼻唇形态恢复较好,鼻底、人中和唇珠等亚解剖单位均予以重建。人中切迹点-唇珠最低点(Ls-Sto)由术前(6.03±2.03)mm增厚至(10.34±3.13)mm;鼻小柱基底宽和唇峰距较术前分别减少了22.6%和16.0%。人中嵴凸度、人中凹形态及上唇对称性均较术前明显改善,上唇形态主观评分由术前(3.74±0.70)分增至(7.60±0.99)分。结论改良Mulliken法能有效矫治双侧唇裂术后鼻唇畸形,长期随访获得稳定的手术效果。Objective To evaluate the effect of modified Mulliken method in correcting secondary bilateral cleft lip nasolabial deformity.Methods From October 2020 to October 2022,15 patients with secondary bilateral cleft lip nasolabial deformity were repaired with modified Mulliken method.They were all patients from the Oral and Maxillofacial Surgery Department,Hospital of Stomatology,Wuhan University,aged from 13 to 34(21.3±5.5)years.A periodic review and two-dimensional photos were taken to measure and evaluate various nasolabial parameters.Results Fifteen patients′nasolabial morphology recovered well after surgery,and the vermilion tubercle(Ls-Sto)and philtrum structure were reconstructed.Ls-Sto increased from an average preoperative thickness of(6.03±2.03)mm to(10.34±3.13)mm.The extremely large columella base(CobR-CobL)was reduced by 22.6%,and the lip peak distance(ChpR-ChpL)was narrowed by 16.0%.There was a significant improvement in the convexity of the philtral ridge and the concavity of philtral dimple.The subjective score of upper lip shape increased from(3.74±0.70)points before surgery to(7.60±0.99)points.Conclusions Modified Mulliken method is effective in correcting secondary bilateral cleft lip nasolabial deformity,and the ideal effects are obtained during a regular periodic review.

关 键 词：Mulliken法 双侧唇裂 鼻唇畸形 二期修复术 修复外科手术 

分 类 号：R782.21[医药卫生—口腔医学]