皮肤红唇复合瓣法修复单侧完全性唇裂的临床分析

目的 介绍应用皮肤红唇复合瓣法修复单侧完全性唇裂的手术方法,并对其临床效果进行分析.方法 在裂侧唇缘设计一皮肤红唇三角瓣,内旋推向健侧,再造唇珠;口轮匝肌、鼻小柱和鼻翼外侧角的松解、复位固定;鼻底构建与鼻堤形成等多种方法,于2008年4～12月,对45例单侧完全性唇裂患儿进行手术修复.结果 术后随访1～6个月,45例单侧完全性唇裂患儿术后双侧唇高、鼻翼和唇红对称,鼻堤和唇珠明显,无鼻底凹陷,效果满意.结论 皮肤红唇复合瓣法修复单侧完全性唇裂,具有设计简单易行,切除组织量较少,瘢痕小,唇珠外形佳等特点.

Analysis of unilateral complete cleft lip repaired with skin-vermilion flap method

Objective To introduce the skin-vermilion flap method repairing unilateral cleft lip and analyse the curative effect. Methods We repaired 45 cases with unilateral complete cleft lip by designing a skin-vermilion triangle flap in affected lateral lip to reconstruct the vermilion tubercle, soluting, resetting and fixing orbicularis oris muscla, cohimella nasi and lateral angle of alae nnsi, constructing basis nasi, and forming agger nasi between April and December of 2008. Results All the cases obtained primitively satisfactory effect. The average of follow-up was 3.5 months (rang from 1 to 6 months). All the patients presented obvious agger nasi, good contour of vermilion tubercle and chubby basis nasi. their high-llp, alae nasi and vermilion border were symmetrical between affected and unaffected lateral lip. Conclusions Simple design, less exsected tissue dose, little scar and good contour of vermilion tubercle are the characteristic of unilateral complete cleft lip cheiloplasty repaired with skin-vermilion flap method.