单侧完全性唇裂术后继发鼻唇畸形的一次性修复  

Comprehensive correction of secondary lip-nasal deformities after operation of unilateral cleft lip

作　　者：高建华[1] 梁黎明[2] 胡志奇[1] 姜平[1] 吕登科 罗梅 

机构地区：[1]第一军医大学南方医院整形科,广州510000 [2]解放军第304医院烧伤整形科 [3]湖南邵阳县人民医院 [4]空军兰州医院

出　　处：《中华医学美学美容杂志》2003年第1期8-11,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　介绍一种综合术式一次性整体矫正单侧完全性唇裂术后继发鼻唇畸形的方法。方法　采用一针法鼻小柱鼻翼脚复位固定 ,以缩窄和平齐鼻底 ;穹窿MT瓣成形术改善鼻孔形状 ;带侧翼鼻假体隆鼻突出鼻部立体感和加高鼻翼 ;上唇M瓣成形修整唇红缘重建唇弓 ;双侧口角为蒂的唇黏膜瓣或下唇瓦合式黏膜瓣修复上唇唇红过薄、过短或部分缺损。结果　单侧完全性唇裂术后继发鼻唇畸形2 1例 ,随访 10例 3个月至 1年 ,外观和效果满意。结论　应用一针法鼻小柱鼻翼脚复位加MT成形术和双蒂唇黏膜瓣移植等术式是值得推荐的一种一次性整体修复继发鼻唇畸形的方法。Objective To introduce a method of comprehension correction for secondary lip-nasal deformities after operation of the completely unilateral cleft lip. Methods The correction consisted of the following procedures: reposition of the columella and nasal alar crus by one tractional suture with nostril base narrowing; modification of flat nostril by a MT-plasty at the edge of naris; arising of the nasal alar and nasal dorsor by ePTFE implantation; reconstruction of the Cupid's bow by M type incision and vermilion advancement; repair of the vermilion deficit with the hinge mucosal flap and bipedicle mucosal flaps of the lower lip. Results Twenty-one cases with secondary lip-nasal deformities were successfully corrected by these comprehensive methods. Ten of them were followed-up for three months to 1 year with satisfactory effects. Conclusion The comprehensive methods can be used to correct satisfactorily the secondary lip-nasal deformities after operation of the completely unilateral cleft lip.

关 键 词：单侧完全性唇裂 一次性修复 手术后 继发性鼻唇畸形 

分 类 号：R782.21[医药卫生—口腔医学] R765.7[医药卫生—临床医学]