CAJ | 학술논문

目的:探讨应用改良直线缝合法功能性修复重度双侧唇裂的方法和临床效果.方法:在直线缝合法基础上通过设计侧唇的红唇黏膜肌瓣,旋转于前唇下方修复前唇唇红及唇珠;在前唇瓣侧方设计蒂在鼻中隔方向的近三角形皮瓣（C瓣）,在鼻前庭底部设计皮瓣（G瓣）同时,在鼻底裂隙两侧设计鼻黏膜瓣（D瓣和H瓣）,以封闭鼻底;离断口轮匝肌的异常附着,重建口轮匝肌的连续性. 结果:术后患者上唇及唇红丰满,动态畸形不明显,鼻底封闭良好.结论:此法修复重度双侧唇裂可获得较好的上唇形态,减少“口哨”畸形﹑口鼻瘘及术后动态畸形的发生.
목적:탐토응용개량직선봉합법공능성수복중도쌍측진렬적방법화림상효과.방법:재직선봉합법기출상통과설계측진적홍진점막기판,선전우전진하방수복전진진홍급진주;재전진판측방설계체재비중격방향적근삼각형피판（C판）,재비전정저부설계피판（G판）동시,재비저렬극량측설계비점막판（D판화H판）,이봉폐비저;리단구륜잡기적이상부착,중건구륜잡기적련속성. 결과:술후환자상진급진홍봉만,동태기형불명현,비저봉폐량호.결론:차법수복중도쌍측진렬가획득교호적상진형태,감소“구초”기형﹑구비루급술후동태기형적발생.
Objective: To explore the operation method and clinical effect of treatment for bilateral cleft lip with improved straight line closure. Methods: On the basis of straight line closure, the vermilion and anterior lip pear were repaired with the muscle-vermilion labial flap of lateral lip. In order to close nasal floor, flap-C from lateral wall of anterior lip and flap-G from nasal wing base were designed, meanwhile, nasal mucosa flap-D and flap-H from two sides of nasal base fissure were designed. The function of the orbicularis oris was repaired by cutting off the anomaly adhesion of the orbicularis oris. Results: The post-operational upper lip was thickened together with good shape and vermilion color, there was no obvious dynamic abnormality, nasal floor was closed well. Conclusion: The improved straight line closure can obtain good shape of lip, reduce the whistling deformities, oronasal fistula and dynamic abnormality.