摘要
目的:探讨应用口内入路进行功能性唇裂及鼻畸形修复术的手术方法,并分析其适应证。方法:白、红唇交界区域设计三角形皮瓣,结合口腔内粘膜切口入路,在恢复患侧唇峰、唇珠结构的同时,一次性完成口轮匝肌功能性重建、人中嵴的成形和鼻翼畸形的纠正。结果:本组30例患者伤口均为I期愈合,鼻底丰满度良好,鼻孔横置现象得到明显改善,人中窝及人中嵴形态良好。所有患者对轻微的白唇瘢痕能够接受,表示对治疗效果满意。结论:应用口内入路功能性唇裂及鼻畸形修复术具有手术后瘢痕轻微,减少术后瘢痕挛缩畸形的优点,结合口内切口入路可同期完成传统入路的各项操作要求,是治疗I度裂或隐裂较为理想的方法。
Objective To introduce a method of functional reparation for cleft tip with mini-approach. Methods Design triangle flap in junctional zone between skin and mucosa,combine with intraoral incision approach,by means of repairing the orbicularis oris muscle,to obtain the reconstruction of labial arch, philtrum column and nasal wing. Results All cases in this study obtained perfect healing, with good augmentation at floor of the nose. Maioritily with good looking of philtrum and improvement in the shape of nostril. Conclusion In use of the method of functional reparation for cleft lip with mini-approach can decrease scar on skin,hence decrease the contraction deform, as well as nice reconstruction of labial arch, philtrum column and nasal wing.
出处
《中国美容医学》
CAS
2009年第10期1444-1446,共3页
Chinese Journal of Aesthetic Medicine
关键词
手术入路
唇裂修复术
operative approach
cheilorrhaphy
