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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.

DOI:10.4103/jrms.JRMS_994_15
PMID:28461815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5390539/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0a/5390539/c3ca47c41dde/JRMS-22-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb0a/5390539/c3ca47c41dde/JRMS-22-29-g001.jpg

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本文引用的文献

1
Structural Fat Grafting to Improve Reconstructive Outcomes in Secondary Cleft Lip Deformity.采用结构性脂肪移植改善二期唇裂畸形的重建效果
Cleft Palate Craniofac J. 2017 Jan;54(1):70-74. doi: 10.1597/15-197. Epub 2016 Jan 11.
2
Correction of secondary cleft lip deformity: the whistle flap procedure.二期唇裂畸形的矫正:口哨瓣法。
Plast Reconstr Surg. 2009 Nov;124(5):1590-1598. doi: 10.1097/PRS.0b013e3181b99e2e.
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The use of dermal fat grafts for the correction of secondary cleft lip deformities.
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Rectangular mucosal flap with artificial dermis grafting for vermilion deformity in cleft lips.矩形黏膜瓣加人工真皮移植修复唇裂红唇畸形。
J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):22-7. doi: 10.1016/j.bjps.2008.08.027. Epub 2008 Dec 10.
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Quantitative 3D soft tissue analysis of symmetry prior to and after unilateral cleft lip repair compared with non-cleft persons (performed in Cambodia).与非唇裂者相比,单侧唇裂修复术前和术后对称性的定量三维软组织分析(在柬埔寨进行)。
J Craniomaxillofac Surg. 2008 Dec;36(8):431-8. doi: 10.1016/j.jcms.2008.05.003. Epub 2008 Aug 12.
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Analysis of the cleft lip-nose in the submental-vertical view. Part II. Panel study: which is the most important deformity?
J Craniomaxillofac Surg. 2008 Sep;36(6):315-20. doi: 10.1016/j.jcms.2008.01.004. Epub 2008 May 12.
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Free dermis-fat graft to correct the whistle deformity in patients with cleft lip.游离真皮脂肪移植矫正唇裂患者口哨畸形
Br J Plast Surg. 2004 Mar;57(2):160-4. doi: 10.1016/j.bjps.2003.11.007.
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Lip enhancement: surgical alternatives and histologic aspects.
Plast Reconstr Surg. 2000 Mar;105(3):1173-83; discussion 1184-7. doi: 10.1097/00006534-200003000-00055.
9
Facial recontouring with lipostructure.采用脂肪结构进行面部轮廓重塑。
Clin Plast Surg. 1997 Apr;24(2):347-67.
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Use of a tongue flap in secondary correction of cleft lips.
Plast Reconstr Surg. 1969 Oct;44(4):368-71.