一种用于特西埃4号面部裂隙修复的新手术方法：唇部挽救皮瓣。

A New Surgical Approach for Tessier No. 4 Facial Cleft Reconstruction: Lip-Rescue Flap.

作者信息

Horoz Ugur, Kuroki Tomoaki, Sato Nabuhiro, Tosa Yasuyoshi, Ozakpinar Hulda Rifat, Tellioglu Ali Teoman, Yoshimoto Shinya

机构信息

*Plastic Reconstructive and Aesthetic Surgery Clinic, Ankara Diskapi Yildirim Beyazit Education And Research Hospital, Ankara, Turkey†Plastic Reconstructive and Aesthetic Surgery Department, Showa University School of Medicine, Tokyo, Japan‡Plastic Reconstructive and Aesthetic Surgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.

出版信息

J Craniofac Surg. 2016 Nov;27(8):2138-2140. doi: 10.1097/SCS.0000000000003221.

DOI:10.1097/SCS.0000000000003221

PMID:28005770

Abstract

Craniofacial clefts are rare, severe challenges for surgeons about which there is limited literature. Tessier Number 4 (No. 4) clefts are one of the most complex craniofacial anomalies and present difficulties in surgical treatment. The most-common deformities associated with Tessier No. 4 clefts are displacements of the lower eyelids, medial canthus, and ala and decreased distance between the lower eyelids and lips. In surgery to correct these deformities, the greatest challenges are the design and the placement of the landmarks and incisions. Because of its relative rarity and wide range of severity, no definitive operative methods have been accepted for Tessier No. 4 facial cleft. The present study presents a new lip-rescue flap technique as an alternative approach for reconstructing Tessier No. 4 facial clefts.

摘要

颅面裂是一种罕见的、给外科医生带来严峻挑战的病症，关于这方面的文献有限。第4号（Tessier 4号）裂是最复杂的颅面畸形之一，手术治疗存在困难。与Tessier 4号裂相关的最常见畸形是下眼睑、内眦和鼻翼移位，以及下眼睑与嘴唇之间的距离缩短。在矫正这些畸形的手术中，最大的挑战是标志点和切口的设计与定位。由于其相对罕见且严重程度范围广，目前尚无被广泛接受的Tessier 4号面部裂的确定性手术方法。本研究提出了一种新的唇挽救皮瓣技术，作为重建Tessier 4号面部裂的替代方法。