From the State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, and Department of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University.
Division of Plastic Surgery, Children's Hospital of Philadelphia.
Plast Reconstr Surg. 2024 Jul 1;154(1):146e-154e. doi: 10.1097/PRS.0000000000010855. Epub 2023 Jun 20.
The long-term postoperative outcomes of two different orbicularis oris muscle reconstruction techniques in patients with unilateral incomplete cleft lip were compared.
Forty-seven patients with unilateral incomplete cleft lip were assessed in this study, where 23 underwent a traditional method of reconstruction and 24 underwent a novel method. Preoperative measurements, postoperative results, and 3-year follow-up outcomes were measured by photographic anthropometric analysis. Five upper lip measurement indices and 8 nostril indices were included.
The postoperative outcomes showed that the shape of the lip and nose was more symmetric with the new surgical method compared with the conventional technique. Long-term outcomes after 3 years, although characterized by minimal changes during maxillofacial development, showed better maintenance of lip and nostril symmetry in the novel-method group.
The novel technique seeks to balance the perinasal and perioral muscles, resulting in improved symmetry compared with the traditional reconstruction technique.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
比较两种不同的口轮匝肌重建技术在单侧不完全性唇裂患者中的长期术后效果。
本研究评估了 47 例单侧不完全性唇裂患者，其中 23 例行传统重建方法，24 例行新方法。术前测量、术后结果和 3 年随访结果采用摄影人体测量分析进行测量。包括 5 个上唇测量指数和 8 个鼻孔指数。
术后结果表明，与传统手术方法相比，新手术方法使唇和鼻的形状更加对称。3 年后的长期结果，虽然在颌面部发育过程中变化很小，但新型手术组在保持唇和鼻孔对称方面更好。
新方法试图平衡鼻旁和口周肌肉，与传统重建技术相比，可改善对称性。
临床问题/证据水平：治疗，III 级。
