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口内切口联合耳后真皮-脂肪游离移植治疗微小唇裂
引用本文:FANG Bai-rong,方柏荣,WANG You-bin,王友彬,HUANG Wei-qing,黄渭清,QIAO Qun,乔群. 口内切口联合耳后真皮-脂肪游离移植治疗微小唇裂[J]. 中华医学美学美容杂志, 2008, 14(6)
作者姓名:FANG Bai-rong  方柏荣  WANG You-bin  王友彬  HUANG Wei-qing  黄渭清  QIAO Qun  乔群
作者单位:1. Plastic Surgery Center,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Science,Beijing 100730,China
2. 中国医学科学院北京协和医院整形外科,北京,100032
摘    要:目的 探讨一种修复微小唇裂的方法.方法 在患侧人中嵴对应的黏膜侧做口内切口,将口轮匝肌解剖复位;在患侧上唇通过皮下隧道游离移植,从耳后切取的真皮一脂肪形成人中嵴;红、白唇交界处用Z成形术等方法修复,红唇凹陷用耳后真皮-脂肪游离移植充填;患侧鼻畸形采用悬吊固定等方法矫治.结果 共治疗8例,7例获随访,最长18个月,均取得满意效果.结论 口内切口联合耳后真皮一脂肪游离移植治疗微小唇裂是一种理想方法.

关 键 词:唇裂  口内切口  真皮-脂肪移植

Micro-cleft lip repair thrugh intraoral incision and combined with dermo-fat graft
FANG Bai-rong,WANG You-bin,HUANG Wei-qing,QIAO Qun. Micro-cleft lip repair thrugh intraoral incision and combined with dermo-fat graft[J]. Chinese Journal of Medical Aesthetics and Cosmetology, 2008, 14(6)
Authors:FANG Bai-rong  WANG You-bin  HUANG Wei-qing  QIAO Qun
Abstract:Objective To explore a method of repairing microform cleft lip.Methods Reconstruet orbicularis oris muscle through intraoral incision opposite to the affected philtral ridge;Augment the depressed deformity using postauricular dermis fat graft though the canal of the upper lip;Correct the notching of the Cupid's bow through Z-plasty and dermis fat graft;Lift and fix the alar cartilage,and advance the alar base medially to reduce the cleft-site nostril.Results 8 patients were operated with this method,in which 7 patients were followed-up with satisfactory results.Conclusion It is a useful method to repair microform cleft lip using dermis fat graft through the intraoral incision.
Keywords:Cleft lip  Intraoral incison  Dermis fat graft
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