唇正中裂的分类与治疗进展  

Midian cleft lip: progress in classification and treatment

作　　者：赵久丽 舒凯翊 王永前 Zhao Jiuli;Shu Kaiyi;Wang Yongqian(Department of Cleft Lip and Palate,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院唇腭裂治疗中心,北京100144

出　　处：《中华整形外科杂志》2024年第12期1357-1361,共5页Chinese Journal of Plastic Surgery

基　　金：北京协和医学院教学改革项目(10023201900401)。

摘　　要：各种原因导致的先天性唇正中裂是面正中裂最基本的表现形式。目前对于唇正中裂畸形的治疗方式多样, 基本的手术方法通过暴露唇鼻部异常的解剖结构、修整皮肤和软组织、复位鼻软骨、修复口轮匝肌、截骨复位等实现对唇正中裂的一期矫正, 但其具体应用缺乏统一的标准, 治疗结果也各有优劣。此外, 尚没有公认的分类系统来划分复杂的唇鼻部正中裂畸形。对各种异常表现进行识别和区分至关重要, 有助于针对不同类型制定更加明确的治疗方法, 以获得良好的手术效果。该文总结了唇正中裂的分类方法, 推荐使用学术界广为接受的Kolker分类法, 并根据此种分类方法对治疗方案进行总结, 同时提出了展望, 以期为该病的研究提供思路。Congenital median cleft lip caused by all kinds of reasons is the most basic presentation of facial median cleft.Although a wide array of options is available,the technique employed will largely depend on the surgeon preference and experience,and lack of uniform standards.The basic surgical treatments of midline cleft lip and nose deformities include exposure of abnormal anatomy,repair soft tissue and skin,anatomic approximation of cartilaginous elements,orbicularis oris muscle repair and craniofacial osteotomy.However,there is still no common classification system to stratify the wide variations of midline cleft lip and nasal deformity,which is important to formulate specific surgical method for different types.This article summarized various classifications,recommended to use the Kolker’s classification by which the treatment options were summarized and proposed research prospects to provide ideas for further study.

关 键 词：唇裂 颅面骨畸形 鼻畸形 

分 类 号：R68[医药卫生—骨科学]