Koonce Stephanie L, Grant David G, Cook Jonathan, Stelnicki Eric J
Queens Medical Centre, Nottingham, United Kingdom.
Ann Plast Surg. 2018 Jun;80(6S Suppl 6):S352-S355. doi: 10.1097/SAP.0000000000001348.
The goal of cleft lip repair is a symmetrical balanced lip with minimal scar. Fat grafting is an established procedure in cosmetic and reconstructive surgery for restoration or correction of contour deformity, volume loss, and improved tissue characteristics. In this study, we evaluated the use of fat grafting in correction of cleft lip volume asymmetry.
We performed a retrospective analysis of our series of patients who underwent fat grafting using the Coleman technique for cleft lip volume asymmetry. Sex, age at primary repair, age at fat grafting, perioperative data, and preoperative and postoperative photographs were reviewed.
A total of 52 children underwent fat grafting as secondary revision for both unilateral and bilateral cleft lip repair. Fat was hand suctioned from the abdominal or buttock region with a mean yield of 3.0 mL (range, 2.0-5.0 mL). An average total volume of 3.0 mL (range, 2.0-4.5 mL) of fat was injected via an intraoral incision into the philtrum, vermillion, and volume deficiencies in the vertical component of the lip for volume restoration. No complications were noted with fat harvest or with fat grafting. Mean follow-up was 48 months. Postoperative assessment revealed improved volume symmetry in all patients, and all patients or families were pleased with the results.
Fat grafting via an intraoral incision is a minimally invasive, safe, and reliable secondary procedure to improve volume asymmetries after cleft lip repairs.
唇裂修复的目标是获得对称、平衡且瘢痕最小的唇部。脂肪移植是整形和重建外科中一种成熟的手术方法，用于恢复或矫正轮廓畸形、体积缺失以及改善组织特性。在本研究中，我们评估了脂肪移植在矫正唇裂体积不对称方面的应用。
我们对一系列采用科尔曼技术进行脂肪移植以矫正唇裂体积不对称的患者进行了回顾性分析。回顾了患者的性别、初次修复时的年龄、脂肪移植时的年龄、围手术期数据以及术前和术后照片。
共有52名儿童接受了脂肪移植，作为单侧和双侧唇裂修复的二期修复。通过手工吸脂从腹部或臀部区域获取脂肪，平均获取量为3.0毫升（范围为2.0 - 5.0毫升）。通过口腔内切口将平均总量为3.0毫升（范围为2.0 - 4.5毫升）的脂肪注射到人中、唇红以及唇部垂直部分的体积缺损处，以恢复体积。脂肪获取或脂肪移植过程中均未出现并发症。平均随访时间为48个月。术后评估显示所有患者的体积对称性均有所改善，所有患者或其家属对结果都很满意。
通过口腔内切口进行脂肪移植是一种微创、安全且可靠的二期手术，可改善唇裂修复后的体积不对称。
