CAJ | 학술논문

目的针对微笑时鼻唇部出现上唇上提并短缩,鼻小柱下方褶沟,上唇牙龈外露等现象,探讨一种治疗上唇短缩畸形的手术方法.方法采用经口或鼻前庭切口,将鼻小柱根部鼻中隔降肌肌纤维切断及部分切除,并广泛剥离使上唇下降.结果共为27例上唇短缩畸形患者进行手术治疗.其中9例采用了双侧鼻小柱外侧与前庭基底贯穿切口,18例采用了上唇唇龈沟切口.通过手术,患者获得微笑时上唇中部适度降低,鼻小柱下方褶沟变浅或消失,上唇牙龈外露消失的效果.6例患者还在手术矫正上唇动态短缩畸形的同时,实施了鼻整形术.通过手术可矫正鼻唇牙龈部的综合动态缺陷,获得满意的美学效果.结论手术方法治疗上唇短缩畸形,可改善患者微笑时的表情,是值得推广的治疗方法.
목적 침대미소시비진부출현상진상제병단축,비소주하방습구,상진아간외로등현상,탐토일충치료상진단축기형적수술방법.방법 채용경구혹비전정절구,장비소주근부비중격강기기섬유절단급부분절제,병엄범박리사상진하강.결과 공위27례상진단축기형환자진행수술치료.기중9례채용료쌍측비소주외측여전정기저관천절구,18례채용료상진진간구절구.통과수술,환자획득미소시상진중부괄도강저,비소주하방습구변천혹소실,상진아간외로소실적효과.6례환자환재수술교정상진동태단축기형적동시,실시료비정형술.통과수술가교정비진아간부적종합동태결함,획득만의적미학효과.결론 수술방법치료상진단축기형,가개선환자미소시적표정,시치득추엄적치료방법.
Objective In order to cure some patients with the following characteristics which appear only when smiling: elevation and shortening of the upper lip, a transverse furrow below the co-lumella, and increased exposure of the maxillary gums, we reported a new surgical procedure to cor-rect this deformities. Methods By means of a transfixion incision extended laterally along the vestibu-lar or the upper gingivolabial sulcus incision, part of the depressor septi and orbicularis muscle were excised, and extensive separation were made to lower the upper lip. Results 27 cases of short upper lip were treated. Among the total, the transfixion incisions were made in 9 cases, and the upper gingi-volabial sulcus incisions were made in 18 cases. These procedures achieved lowering the upper lip, lighting or disappearing the transverse furrow, and covering the exaggerated exposure of the gums when patients smiled. At the same time the rhinoplasties were done in 6 cases. Through the above-mentioned we were able to correct the deformities on rhino-gingivolabial part only when the faces moved, achieved some kind of beauty for patients, and obtained satisfactory results. Conclusions Some patients have added defects .that are exported only when they begin to make facial movements. The cause of these characteristics is hypertrophy of the depressor septi nasi muscles. We describe the technique that is not only to correct the defects but also to enhance the patient's smile. It is worth to recommend for clinical application.