Department of Chemical and Materials Engineering, College of Engineering, Chang Gung University, Taoyuan, Taiwan; Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Plastic Surgery, Xiamen Chang Gung Hospital, Xiamen, China.
Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Plastic Surgery, Royal Devon and Exeter Hospital, Exeter, UK.
Int J Oral Maxillofac Surg. 2020 Oct;49(10):1254-1259. doi: 10.1016/j.ijom.2020.01.015. Epub 2020 Jan 30.
Cleft lip and/or cleft palate are the most common congenital craniofacial anomalies. Philtral ridge morphology is an important aesthetic component of unilateral cleft lip (UCL) repair. To this end, we have developed two techniques of philtral ridge reconstruction: (1) asymmetric mattress muscle sutures, and (2) overlapping mattress muscle sutures. The objective of this retrospective cohort study was to compare their outcomes in UCL repairs. Group I patients (n=30) underwent UCL repair before August 2003, including philtral ridge reconstruction by asymmetric mattress muscle sutures. Group II patients (n=30) underwent UCL repair after August 2003, including philtral ridge reconstruction by overlapping mattress muscle sutures. Philtral morphology was evaluated by ultrasonographic and three-dimensional photographic measurements, examining cleft side philtral projection and philtral ridge symmetry. These demonstrated that group II patients had better philtral column symmetry and projection on the cleft side when compared to group I. Overlapping mattress muscle sutures produced better philtral morphology in UCL repairs than asymmetric mattress muscle sutures.
唇裂和/或腭裂是最常见的颅面先天畸形。人中嵴形态是单侧唇裂（UCL）修复的一个重要美学组成部分。为此，我们开发了两种人中嵴重建技术：（1）非对称褥式肌缝线，和（2）重叠褥式肌缝线。本回顾性队列研究的目的是比较它们在 UCL 修复中的效果。第 I 组患者（n=30）在 2003 年 8 月之前接受 UCL 修复，包括非对称褥式肌缝线的人中嵴重建。第 II 组患者（n=30）在 2003 年 8 月之后接受 UCL 修复，包括重叠褥式肌缝线的人中嵴重建。通过超声和三维摄影测量评估人中形态，检查裂隙侧人中嵴的突出度和人中嵴的对称性。结果表明，与第 I 组相比，第 II 组患者的裂隙侧人中柱对称性和突出度更好。重叠褥式肌缝线在 UCL 修复中产生的人中形态优于非对称褥式肌缝线。
