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精准真皮脂肪移植治疗单侧和双侧唇裂患者的唇红缺损

Precision Dermal Fat Grafting for Vermillion Deficiencies in Patients With Unilateral and Bilateral Cleft Lip.

作者信息

Jackson Oksana A, Lee Alfred, Nikovina Elena, Kaye Alison E

机构信息

Division of Plastic and Reconstructive Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Cleft Palate Craniofac J. 2020 Jan;57(1):127-131. doi: 10.1177/1055665619864221. Epub 2019 Jul 21.

DOI:10.1177/1055665619864221
PMID:31327233
Abstract

OBJECTIVE

Deficiencies of the upper lip vermilion occur with some frequency following repair of unilateral and bilateral clefts of the lip and can compromise the aesthetic outcome. The presence of dense scar tissue within the lip at the cleft site as well as intrinsic vermillion deficiencies can make long-lasting correction of this deformity challenging. We describe a technique to address vermillion deficiencies after cleft lip repair.

DESIGN

A novel lip augmentation technique for correction of residual vermilion deficiencies after unilateral and bilateral cleft lip repair is presented. This technique combines precise placement of a contoured dermal fat graft with local tissue (V-Y) rearrangement.

CONCLUSION

In our experience, this method of lip augmentation following either unilateral or bilateral cleft lip repair can restore upper lip vermillion symmetry and provide predictable and durable results in patients with mild to severe vermillion deficiency.

摘要

目的

单侧和双侧唇裂修复术后,上唇唇红缺损较为常见,会影响美观效果。唇裂部位唇部存在致密瘢痕组织以及唇红本身的缺损,使得长期矫正这种畸形具有挑战性。我们描述一种唇裂修复术后解决唇红缺损的技术。

设计

介绍一种用于矫正单侧和双侧唇裂修复术后残留唇红缺损的新型唇部填充技术。该技术将塑形真皮脂肪移植的精确放置与局部组织(V-Y)重排相结合。

结论

根据我们的经验,这种单侧或双侧唇裂修复术后的唇部填充方法可恢复上唇唇红对称性,并为轻至重度唇红缺损患者提供可预测且持久的效果。

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