双侧推进肌蒂红唇肌瓣修复双侧唇裂术后口哨畸形  

Clinical application of double movable mucomuscular complex flaps in whistlingd eformities in bilateral cleft lips

作　　者：翦新春[1] 胡延佳[1] 黄龙[1] 尹乒[1] 

机构地区：[1]中南大学湘雅医院口腔颌面外科,长沙410008

出　　处：《中华医学美学美容杂志》2003年第5期272-274,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨双侧推进肌蒂红唇肌瓣在双侧唇裂术后口哨畸形修复中的应用。方法　在双侧唇裂术后口哨畸形的两侧红唇上设计切口线 ,按切口线 ,先用 11号尖刀片切除口哨畸形正中处黏膜 ,止血、分离。然后 ,切开两侧上唇前面约 1/ 3厚的口轮匝肌 ,在唇动脉的后方切开口轮匝肌 ,以保持红唇肌瓣有良好的血供 ,解剖完成之后 ,形成以上方轮匝肌为蒂的两个楔形的红唇肌瓣相向推进移转 ,按“V Y”原则相互在中线形成唇珠 ,口哨畸形消失。结果　已用该法修复 11例 ,上唇高度和宽度适中 ,有明显的唇珠 ,整个上唇解剖结构近似正常。结论　用该法修复术后口哨畸形 ,不需要从身体其他部位转移组织 。Objective To introduce experiences with double mucomusc ul ar complex flaps for whistling deformities in bilateral cleft lips. Met hods Eleven patients with residual whistling deformity in a repaired bi lateral cleft lips were selected to perform this procedure. Two planes of disse ction were necessary: the anterior plane divided the lip coronally with approxim ately one-third of the orbicularis oris muscle mass in front of it; the posteri or plane was behind the labial vessels, deep in the submucosal layer. This diss ection was completed as designed so that the flaps was pyramids, with vermilion at the bases, the two lateral islands of tissues remained attached in the upper part of the lip, but they were swung together as a pendulums to meet in the prol abium. 4-0 fine silk line was used to suture in layers. Results Experience with this technique in 11 patients showed good tissue distributio n, with minimal apparent surface scar formation. The height and width of patien t's upper lip are proper. Eleven patients have obvious center tubercle of the u pper lip. The anatomical structures of the patient's upper lip is similar to th e normal. Conclusion This method avoids the necessity of trans fer of tissues from other normal structures and corrects the deformity in a sing le stage.

关 键 词：肌蒂红唇 肌瓣修复 唇裂术 口哨畸形 并发症 临床资料 手术方法 

分 类 号：R782.21[医药卫生—口腔医学]