Erlangen University Hospital, Department of Oral and Maxillofacial Surgery, Glueckstr. 11, 91054 Erlangen, Germany.
Med Oral Patol Oral Cir Bucal. 2013 Mar 1;18(2):e257-62. doi: 10.4317/medoral.18477.
The present prospective study aimed at objectively evaluating the relevance of a single horizontal Y-V vermilion plasty including orbicularis oris muscle repair for secondary correction of whistling deformities in unilateral as well as bilateral cleft lip cases.
Ten patients were included in the study (mean age 20.2 ± 6.2 years). The size of the whistling defects was determined on photographs before and 12 months after surgery. Additional surgical procedures like columella lengthening and rhinoplasty were documented.
Seven minor and 3 moderate whistling defects were corrected. In 7 patients additional procedures were carried out. The data of the 12 months follow-up showed that the whistling defect was significantly reduced in size (p < 0005). In 7 out of 10 patients the result of surgery was rated "good" and in 3 patients "moderate".
The present prospective study is the first one to show on an objective basis that the presented technique allows reducing whistling deformities significantly with good overall results in the majority of the cases. Moreover, the technique can be combined with other corrective procedures like columella lengthening without problems. As a consequence, it is a relevant and universal surgical technique for the correction of whistling defects.
本前瞻性研究旨在客观评估包括口轮匝肌修复的单一水平 Y-V 唇红成形术在单侧和双侧唇裂患者继发口哨畸形矫正中的相关性。
本研究纳入了 10 名患者（平均年龄 20.2 ± 6.2 岁）。口哨畸形的大小通过术前和术后 12 个月的照片确定。还记录了鼻中隔延长和鼻整形等其他手术步骤。
7 例轻度和 3 例中度口哨畸形得到矫正。7 名患者进行了其他手术。12 个月随访时的数据显示，口哨畸形的大小明显缩小（p<0.005）。10 名患者中有 7 名的手术结果评为“良好”，3 名评为“中等”。
本前瞻性研究首次基于客观基础表明，所提出的技术可显著减少口哨畸形，且大多数患者的总体结果良好。此外，该技术可与鼻中隔延长等其他矫正手术相结合，无问题。因此，它是一种用于矫正口哨畸形的相关且通用的手术技术。
