Tuersunjiang M, Long X, Fu Y, Ke J, He H, Li J
Department of Oral and Maxillofacial Surgery, The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, #237 Luo Yu Road, Wuhan, Hubei, PR China.
Br J Oral Maxillofac Surg. 2018 Sep;56(7):621-625. doi: 10.1016/j.bjoms.2018.06.020. Epub 2018 Jul 13.
The normal commissure is not a simple joint of the upper and lower lip, but a triangular mucosal area. To reconstruct a symmetrical oral commissure in patients with a unilateral transverse facial cleft, we designed composite vermilion flaps, including triangular flaps. We retrospectively studied 17 patients with unilateral transverse facial clefts from 2013-2016. Three-dimensional images were obtained with a 3-dimensional photogrammetry system at the 1-year follow-up, and we used an anthropometric method to evaluate the postoperative symmetry of the commissure. No obvious deformity was found during the follow-up examination, and comparison of the cleft and non-cleft sides by the paired samples t test showed that in all cases both horizontally and vertically symmetrical commissures had been achieved.
正常的口角并非单纯的上唇与下唇的连接处，而是一个三角形黏膜区域。为了在单侧面部横裂患者中重建对称的口角，我们设计了复合朱红色皮瓣，包括三角形皮瓣。我们回顾性研究了2013年至2016年期间的17例单侧面部横裂患者。在1年随访时使用三维摄影测量系统获取三维图像，并采用人体测量方法评估术后口角的对称性。随访检查期间未发现明显畸形，配对样本t检验对裂隙侧与非裂隙侧进行比较，结果显示在所有病例中均实现了口角在水平和垂直方向上的对称。
