Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Arizona College of Medicine-Phoenix, Banner/University Medical Center-Phoenix, Phoenix, the United States.
Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan.
Cleft Palate Craniofac J. 2022 Feb;59(2):222-229. doi: 10.1177/10556656211001727. Epub 2021 Mar 25.
There is an increasing patient expectation for better esthetics, manifesting through anatomical harmony, projection, and volume of the upper lip relative to the lower lip, in patients with cleft deformity. The aim of this study is to investigate the outcome of vermilion augmentation using autologous dermofat graft (DFG) to enhance the lip using both quantitative and qualitative assessment.
Patients with secondary cleft lip deformity who received the surgical treatment in our institution from 2015 to 2018 were recruited. Panel assessment was performed on standardized preoperative and postoperative digital photographs. A patient questionnaire was used for the reported outcome. Image processing and analyses were applied to measure the lip change. Statistical analyses were performed.
A total of 91 patients were included. The mean age at operation was 22.7 years, and postoperative follow-up was 3.6 years. There were no complications in the study group. The panel assessment showed significant improvement ( < .00001) on upper lip vermilion in both frontal and lateral profile views. Ninety-five percent of patients reported improvement of the upper lip projection and volume. Quantitative image analysis showed an increase in the upper lip vermilion ratio in 97% of the cases in frontal views and improvement of the vermilion projection in 87% of the cases in the superimposed lateral views.
The use of DFG is an effective and reproducible method for vermilion augmentation and aesthetic enhancement in patients presenting with upper lip insufficiency relative to the lower lip.
唇裂患者对更好的美学效果的期望越来越高，表现在上唇相对于下唇的解剖学协调性、突出度和体积。本研究旨在通过定量和定性评估，调查使用自体真皮脂肪移植物（DFG）进行红唇增大的效果。
招募了 2015 年至 2018 年在我院接受过二次唇裂畸形修复手术的患者。对标准化的术前和术后数字照片进行小组评估。使用患者问卷报告结果。应用图像处理和分析来测量唇部变化。进行了统计分析。
共有 91 例患者纳入研究。手术时的平均年龄为 22.7 岁，术后随访 3.6 年。研究组无并发症。小组评估显示正面和侧面轮廓视图的上唇红唇均有显著改善（<0.00001）。95%的患者报告上唇突出度和体积改善。定量图像分析显示正面视图中 97%的病例上唇红唇比例增加，重叠侧视图中 87%的病例红唇突出度改善。
DFG 的使用是一种有效且可重复的方法，可用于红唇增大和唇裂患者的美学增强，使上唇相对于下唇不足得到改善。
