CAJ | 학술논문

目的探讨双旗形皮瓣法修复烧伤后上唇中部过短畸形的临床效果.方法 2009年1月至2013年12月,对9例烧伤后上唇过短畸形患者采用双旗形皮瓣法修复,其中男4例,女5例,年龄18～37岁,手术时间为烧伤后1～3年.主要的临床表现为上唇外翻、上唇中部过短、人中正常解剖破坏、人中嵴不明显和红唇连续性差等畸形.结果 9例患者术后上唇中部加高4～6 mm,从根本上矫正了烧伤后上唇中部过短引发的上唇畸形,随访3个月至3年,效果满意.术后切口均Ⅰ期愈合,无皮瓣血运障碍、无切口感染、无裂开等并发症.结论上唇鼻底部双旗形皮瓣法是一种操作简单、效果良好的烧伤后上唇中部过短畸形矫正的方法.
목적 탐토쌍기형피판법수복소상후상진중부과단기형적림상효과.방법 2009년1월지2013년12월,대9례소상후상진과단기형환자채용쌍기형피판법수복,기중남4례,녀5례,년령18～37세,수술시간위소상후1～3년.주요적림상표현위상진외번、상진중부과단、인중정상해부파배、인중척불명현화홍진련속성차등기형.결과 9례환자술후상진중부가고4～6 mm,종근본상교정료소상후상진중부과단인발적상진기형,수방3개월지3년,효과만의.술후절구균Ⅰ기유합,무피판혈운장애、무절구감염、무렬개등병발증.결론 상진비저부쌍기형피판법시일충조작간단、효과량호적소상후상진중부과단기형교정적방법.
Objective To explore the surgical method of double flag-shaped flap to correct the shortened middle part of upper lip deformity of post burn.Methods From January 2009 to December 2013,9 cases of shortened middle part of upper lip post burn deformity were corrected by double flag-shaped flap,including 4 males and 5 females who aged from 18 to 37 years.They received the surgery from 1 to 3 years after burn.The main clinical manifestations included the upper lip eversion,too short middle part of upper lip,the destruction of the normal anatomy philtrum,philtrum column deformity and poor continuity vermilion border.Results The height of the middle of upper lip of 9 patients enrolled in the experimental treatment was lengthened by 4 to 6 mm after operation,which fundamentally corrected the shortened middle part of upper lip deformity of post burn.The patients were followed up for a period of 3 months to 2 years and received satisfactory results.The operative incisions of 9 cases were primary healing,with no flap blood supply disorders,wound infection,dehiscence and other complications.Conclusions Double flag-shaped flap of the upper lip at the nostrils bottom is a simple and good effective method to correct the shortened middle part of upper lip deformity of post burn.