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[使用鼻小柱外侧皮瓣修复唇裂]

[Cleft lip repair using a lateral columellar flap].

作者信息

Song R, Liu C, Ma H

机构信息

Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041.

出版信息

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Sep;15(5):325-8.

PMID:11501089
Abstract

OBJECTIVE

Since the important cosmetic structures of a good looking lip, viz. the philtrum column, philtrum dimple and Cupid's bow of a cleft lip repaired with the commonly used methods, are still defective in various degrees, a new method is designed.

METHODS

On the medial side of the cleft, the short philtrum is lengthened and the upwardly displaced Cupid's bow maintained in a lowered position by a rectangular flap transplanted from the lateral surface of the columella. No lip flap has been formed on the lateral side of the cleft.

RESULTS

In a period of three years (1996-1998), 23 cases of unilateral cleft lip, 9 cases of bilateral cleft lip and 14 cases of secondary deformities of cleft lip have been repaired with this new method. All of the repaired lips have normal looking philtrum column (limited by an uninterrupted straight-line scar), philtrum dimple and Cupid's bow.

CONCLUSION

The lateral columellar flap method is a more rational surgical procedure for cleft lip repair in that it repairs tissue defect by transplanting tissue from the unexposed area. The appearance of the repaired lip is better than that of the commonly used methods.

摘要

目的

由于采用常用方法修复唇裂时,好看唇部的重要美学结构,即人中柱、人中凹和唇弓仍存在不同程度的缺陷,故设计一种新方法。

方法

在唇裂内侧,通过从鼻小柱侧面移植矩形皮瓣来延长短人中,并将向上移位的唇弓维持在较低位置。唇裂外侧未形成唇瓣。

结果

在1996年至1998年的三年间,采用这种新方法修复了23例单侧唇裂、9例双侧唇裂和14例唇裂继发畸形。所有修复后的唇部人中柱外观正常(受连续直线瘢痕限制)、有人中凹和唇弓。

结论

鼻小柱外侧皮瓣法是一种更合理的唇裂修复手术方法,因为它通过从不暴露区域移植组织来修复组织缺损。修复后唇部的外观优于常用方法。

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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Sep;15(5):325-8.
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