唇缘红唇瓣在单侧唇裂红唇整复中的临床观察

目的:探求一种实用的修复单侧唇裂唇峰及唇珠的手术方法。方法:25例单侧唇裂患者应用旋转健侧唇缘红唇瓣重建唇峰唇珠。在术后第7天,由3名专科医师进行主观和客观评价。结果:所有患者健、患侧唇峰对称,唇红饱满,唇珠明显,干湿线(红线)恢复整齐。对称性的客观评价数值大多数在0.91～1.10之间,接近正常人群。结论:旋转健侧唇缘红唇瓣,能够较好地恢复单侧唇裂的红唇解剖结构。术式设计简单,定点明确具体,手术效果良好,是一种可靠实用的单侧唇裂红唇修复术式。

Reconstruction of the Vermilion with Healthy Labial Margin Flap in Cleft Lip Repair

Objective： To summarize the clinical practice of vermilion reconstruction with healthy labial margin flap in cleft lip repair.Methods： 25 cases in unilateral cleft lip repair were retrospectively reviewed.The labial tubercle and lip peak reconstruction consisted of bringing down the medial side of the cleft as a large rotation-advancement flap,and using the vermilion tissue on the lateral side to fill the defect high in the lip.Its effects were evaluated by three professional doctors at the end of seventh day after this operation.The ratio of the line length and the angle（RLA） on the healthy side to the correspondence on the cleft side were calculated for objective evaluation.Results： After operation,the labial bow of each side was intensively found to be symmetrical.In a smiling and static state,patients were satisfactory.RLA was evaluated between 0.91 to 1.10.Conclusion： The anatomical structures of the vermilion of unilateral cleft lip were repaired by using this rotation technique.