Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine.
Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea.
J Craniofac Surg. 2021;32(8):2671-2676. doi: 10.1097/SCS.0000000000007946.
Long-term follow-up results of many surgical techniques for lip adhesion are unavailable. Thus, we report the surgical results of patients who underwent lip adhesions performed by a single surgeon. We retrospectively analyzed two-dimensional photographs of 29 patients aged 1 year who underwent lip adhesion and definite lip repair. Among these patients, we analyzed the photographs of 20 patients aged 6 years who underwent secondary rhinoplasty. The ratio of the cleft side length to the noncleft side length was calculated. Only the upper lip length in the photographs of 1-year-olds was measured; both the upper lip and nose lengths were measured in the photographs of 6-year-olds. Lip width, vermilion height, and medial lip height on the cleft and non-cleft sides of 1-year-olds were not significantly different; the alar base width ratio was 1.17 ± 0.15, and the lateral lip height ratio was 0.91 ± 0.09 (P < 0.001). No significant differences were observed in lip width and vermilion height between the cleft and non-cleft sides of the upper lip of 6-year-olds; the alar base width ratio was 1.22 ± 0.16, medial lip height ratio was 1.11 ± 0.11, and lateral lip height ratio was 0.89 ± 0.09 (P < 0.05). There were no significant differences in the alar projection and nasal dome height on the cleft side of the nose; the nostril height and width ratios were 0.82 ± 0.11 and 1.31 ± 0.21 (P < 0.001), respectively. These consecutively performed lip adhesions for patients with wide unilateral complete cleft lip resulted in excellent long-term results. Therefore, lip adhesion for wide unilateral complete cleft lip is a reasonable alternative to presurgical molding.
许多唇粘连手术技术的长期随访结果尚不可用。因此，我们报告了一位外科医生进行唇粘连手术的患者的手术结果。我们回顾性分析了 29 名 1 岁接受唇粘连和明确唇修复的患者的二维照片。在这些患者中，我们分析了 20 名 6 岁接受二次鼻整形术的患者的照片。计算了裂隙侧长度与非裂隙侧长度的比值。仅测量了 1 岁儿童照片中的上唇长度；测量了 6 岁儿童照片中的上唇和鼻长度。1 岁儿童的唇宽度、红唇高度和内侧唇高度在裂隙侧和非裂隙侧无显著差异；鼻翼基底宽度比为 1.17±0.15，外侧唇高度比为 0.91±0.09（P<0.001）。6 岁儿童上唇裂隙侧和非裂隙侧的唇宽度和红唇高度无显著差异；鼻翼基底宽度比为 1.22±0.16，内侧唇高度比为 1.11±0.11，外侧唇高度比为 0.89±0.09（P<0.05）。鼻翼侧的鼻翼突出和鼻穹窿高度无显著差异；鼻孔高度和宽度比分别为 0.82±0.11 和 1.31±0.21（P<0.001）。对于宽单侧完全唇裂患者连续进行的唇粘连术取得了良好的长期效果。因此，对于宽单侧完全唇裂，唇粘连是术前塑形的合理替代方法。
