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改良三角瓣法修复单侧不完全性唇裂25例

Improved triangular flap for repair of incomplete unilateral cleft lip: report of 25 cases

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【作者】 朱云琳程新德杜金张莉马红丽

【Author】 ZHU Yun-lin;CHENG Xin-de;DU Jin;ZHANG Li;MA Hong-li;Department of Plastic Surgery,The Second Affiliated Hospital of Bengbu Medical College;

【机构】 蚌埠医学院第二附属医院整形外科

【摘要】 目的:探讨改良三角瓣法修复单侧不完全性唇裂的治疗效果。方法:对25例单侧不完全性唇裂患者采用改良三角瓣法修补术,手术定点参考健侧人中嵴,唇红缘上皮肤小三角瓣加唇上方弧形切口,分离鼻翼基底的肌肉,重建完整口轮匝肌肌环,并保持唇高一致。结果:鼻孔对称;瘢痕位于人中嵴处;唇弓形态自然;红唇饱满;25例手术效果均满意。结论:改良三角瓣法术后唇鼻部对称,外形自然,是修复单侧不完全性唇裂简单有效的手术方法。

【Abstract】 Objective: To investigate the therapeutic effect of improved triangular flap in repairing the unilateral incomplete cleft lip.Methods: Twenty-five patients with unilateral incomplete cleft lip were treated with the improved triangular flap. The contralateral philtrum ridge acted as a reference in fixing the surgery point; the nasal alar basal muscles were separated,a complete orbicularis oris muscle ring was reconstructed and the two sides of the lip were kept at the same height. Results: The operation was successful in all the cases. The nostrils were in symmetry,the scars were at the philtrum ridge,the labial archs in good shape and the rosylips well-stacked.All the twenty-five patients were satisfied with the results. Conclusions: The improved triangular flap may present a symmetrical nasolabial region and natural shape. It is an effective procedure for repair of the unilateral incomplete cleft lip

【关键词】 唇裂唇裂修复术三角瓣
【Key words】 cleft lipcleft lip repairtriangular flap
  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,2015年03期
  • 【分类号】R782.21
  • 【被引频次】5
  • 【下载频次】79
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