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使用真皮脂肪移植对唇裂患者的上唇缺损进行手术矫正。

Surgical correction of upper lip deficit in patients with cleft lip using dermis fat graft.

作者信息

Abdali Hossein, Kachuee Ali Akbar Ataee, Mohammadi-Mofrad Rastin, Hoghoughi Mohammad Ali, Esmalian-Afyouni Nazgol

机构信息

Department of Plastic Surgery, Alzahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2017 Mar 15;22:29. doi: 10.4103/jrms.JRMS_994_15. eCollection 2017.

Abstract

BACKGROUND

This study aimed to assess dermis fat graft (DFG) as a choice to correct the tissue deficit in the free border of the upper lip in cleft lip repair surgery.

MATERIALS AND METHODS

Thirty-five individuals who referred to Alzahra Hospital at 2013-2014, with lip deformity following the primary repair surgery of cleft lip underwent surgery by DFG technique. Outcomes were assessed 4 months after the surgery based on comparison of preoperative and postoperative photographs.

RESULTS

The results in 18 (51.42%) patients were excellent, 10 (28.57%) good, and 7 (20%) intermediate according to the satisfaction of patients and investigators in terms of filling of lip deficit and motion of the upper lip. Moreover, complications and pain were minimal after 4-month follow-up.

CONCLUSION

This method introduces an admissible method with 80% good to excellent results based on satisfactory of patients and surgeon.

摘要

背景

本研究旨在评估真皮脂肪移植(DFG)作为唇裂修复手术中上唇游离缘组织缺损矫正方法的可行性。

材料与方法

2013年至2014年,35例在阿尔扎赫拉医院就诊的患者,在唇裂一期修复手术后出现唇部畸形,接受了真皮脂肪移植技术手术。术后4个月,通过对比术前和术后照片对结果进行评估。

结果

根据患者和研究者对唇部缺损填充及上唇活动度的满意度,18例(51.42%)患者效果极佳,10例(28.57%)良好,7例(20%)中等。此外,4个月随访后并发症和疼痛极少。

结论

基于患者和外科医生的满意度,该方法是一种可行的方法,80%的效果良好或极佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0a/5390539/c3ca47c41dde/JRMS-22-29-g001.jpg

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