Center of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, PR China.
J Plast Reconstr Aesthet Surg. 2011 May;64(5):589-94. doi: 10.1016/j.bjps.2010.07.031. Epub 2010 Aug 24.
Upper lip whistling deformities, asymmetric upper lip thickness and insufficient vermilion tubercle often occur simultaneously in an affected individual. Unfortunately, these deformities cannot be corrected by a single conventional method. Here, we describe a new technique, using a vermilion-bilobed flap, to address the triplex of deformities simultaneously.
A total of 30 A Thirty patients were included in this study. Their ages ranged from 10 to 35 years. The flap consisted of two lobes: one lobe of the flap was located at the oral mucosa of the prolabium, which allowed for correction of the whistle deformity as well as augmentation of the vermilion tubercle; the other was located at the vermilion mucosa on the lateral side of the cleft, which effectively repaired oral mucosal defects. Quantitative measurements of the vermilion shape were performed before surgery and 6 months postoperatively.
All patients healed well with no complications of the flaps.The gross appearance of the vermilion was significantly improved. Normal tubercles were restored and symmetric profiles of vermilion were achieved. All the patients were satisfied with their final appearance.
The bilobed vermilion mucosal flap is a safe technique, easy to perform and effectively corrects the combined secondary deformities associated with cleft lip surgery.
上唇口哨畸形、上唇厚度不对称和唇红小柱不足在单个患者中常同时发生。不幸的是，这些畸形不能通过单一的常规方法来矫正。在这里，我们描述了一种新的技术，使用唇红双叶瓣，同时解决三联畸形。
本研究共纳入 30 例患者。他们的年龄在 10 岁至 35 岁之间。该皮瓣由两个叶瓣组成：一叶瓣位于人中嵴口腔黏膜，用于矫正口哨畸形和增加唇红小柱；另一叶瓣位于裂隙侧唇红黏膜，有效修复口腔黏膜缺损。在手术前和术后 6 个月对唇红形状进行定量测量。
所有患者均愈合良好，无皮瓣并发症。唇红的大体外观明显改善。恢复了正常的小柱，唇红轮廓对称。所有患者对最终的外观都很满意。
双叶唇红黏膜瓣是一种安全、易于操作的技术，可有效矫正唇裂手术后的联合继发性畸形。
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