梯度旋转下降法修复单侧完全性唇裂

目的 探讨梯度旋转下降法修复单侧完全性唇裂的临床效果.方法 应用梯度旋转下降法修复单侧完全性唇裂,手术设计时点X位于∠123的角平分线上,术中采用梯度旋转下降法和口轮匝肌的脱套式解剖,并同时行一期鼻畸形整复术.结果 2006年10月至2008年10月,于临床应用68例,术后所有患者切口均一期愈合.随访3～15个月,1年内随访的42例中有3例双侧唇高不对称,6例双侧唇宽不对称;1年后随访的26例双侧唇高均基本对称,有2例双侧唇宽不对称.结论 梯度旋转下降法是一种修复单侧完全性唇裂的好方法,该方法强调应将恢复组织移位作为整复治疗中最先考虑和实施的工作.

Repair of unilateral complete cleft lip with the method of rotation descent step by step

Objective To explore the clinical effect of the method of rotation descent step by step for unilateral complete cleft lip with. Methods The method of rotation descent step by step was used to repair unilateral complete cleft lip. Point X was located on the angular bisector of ∠ 123, rotation descent step by step and orbicularis otis degloved dissection were used. Nasal deformities were corrected at the same stage. Results From Oct. 2006 to Oct. 2008, 68 cases were treated with primary healing. 42 cases were followed up for less than one year. Among them, 3 cases showed asymmetric lip height, and 6 cases showed asymmetric lip width. 26 cases were followed up more than one year with only two cases of asymmetric lip width. Conclusions The method of rotation descent step by step is very suitable for repairing unilateral complete cleft lip. The restoration of the malpositioned tissue is especially emphasized in this method.