CAJ | 학술논문

目的探讨双侧唇裂功能性修复的手术效果。方法针对患者双侧唇裂的大小和形状，在双侧唇裂保持原长法的基础上，对口轮匝肌功能进行修复重建，行再造唇龈沟和鼻底封闭，利用侧唇粘膜修复唇珠和唇红。结果93例患者术后随访1年，患者远期唇部外形较好，愈合效果满意，唇部无明显瘢痕，唇红较丰满。结论双侧唇裂功能性修复术需要对口轮匝肌进行广泛修复和加深前庭沟，才能保证修复效果。功能性修复术值得临床推广。
목적탐토쌍측진렬공능성수복적수술효과。방법침대환자쌍측진렬적대소화형상，재쌍측진렬보지원장법적기출상，대구륜잡기공능진행수복중건，행재조진간구화비저봉폐，이용측진점막수복진주화진홍。결과93례환자술후수방1년，환자원기진부외형교호，유합효과만의，진부무명현반흔，진홍교봉만。결론쌍측진렬공능성수복술수요대구륜잡기진행엄범수복화가심전정구，재능보증수복효과。공능성수복술치득림상추엄。
Objective To explore the result and application of functional repair for bilateral cleft lip. Methods According to patients bilateral cleft lip size and shape, the chief design principle was keeping the length. During operation, orbicular or is need to be sufficiently dissociated from lateral labial segment and functional reconstructed in the middle of prolabial. Results 93 patients were followed up for 1 year, all parts of upper lip coordinate when the bicolor muscles move, the upper lip and nasal contours on quiet and dynamic state were satisfactory without unsightly scar. Conclusion It is a recommended processor to obtain further moving effect and perfect lip appearance using functional orbicular muscle repair and deepening prolabial vestibule.