CAJ | 학술논문

目的设计一种新的红唇肌肉瓣在单侧唇裂修复中恢复红唇正常外观的手术方法,并对其临床效果进行分析.方法所有患者均采用Millard法修复唇裂,最后处理红唇时按固定的定点法切开形成红唇肌肉瓣,再造唇珠,形成唇峰,恢复红唇正常功能及形态.结果共治疗78例,术后随访6～36个月,除6例鼻翼扁塌,早期手术的5例患侧红唇轻度上提外,67例均获得了良好的鼻唇形态,所有患者唇峰均下降充分,两侧唇峰及唇高对称,人中形态好,修复的红唇丰满、唇珠明显,红唇过渡自然,瘢痕不明显,形态、功能恢复满意.结论红唇肌肉瓣应用于单侧唇裂的红唇修复,效果良好,简单易行,可以形成一种固定术式,值得临床推广.
목적 설계일충신적홍진기육판재단측진렬수복중회복홍진정상외관적수술방법,병대기림상효과진행분석.방법 소유환자균채용Millard법수복진렬,최후처리홍진시안고정적정점법절개형성홍진기육판,재조진주,형성진봉,회복홍진정상공능급형태.결과 공치료78례,술후수방6～36개월,제6례비익편탑,조기수술적5례환측홍진경도상제외,67례균획득료량호적비진형태,소유환자진봉균하강충분,량측진봉급진고대칭,인중형태호,수복적홍진봉만、진주명현,홍진과도자연,반흔불명현,형태、공능회복만의.결론 홍진기육판응용우단측진렬적홍진수복,효과량호,간단역행,가이형성일충고정술식,치득림상추엄.
Objective To design a new vermilion musculomucosal flap to reconstruct the normal appearance of unilateral cleft lip,and to analyze the clinical effects.Methods All patients were repaired with Millard method,and vermilion musculomucosal flap was formed with fixed point method to repair vermilion.Normal function and morphology were recovered by reconstructing lip beads and forming a peak of cupid's bow.Results 78 cases were enrolled in this study.They were followed-up for 6 to 36 months after operation.Except for 6 cases of nasal deformity and 5 mild lift of vermilion of affected side,67 cases obtained satisfied nasolabial form and function,with full decline and symmetry of cupid's bow peak,and well form of nasolabial fold,and natural transition of vermilion,and significance of lip beads,and inconspicuous scars.Conclusions Appling vermilion musculomucosal flap for reconstructing vermilion of unilateral cleft lip has good effect,and it is simple and feasible.It can be a regular surgery method,and is worthy of clinical promotion.