轮廓线切口入路行唇裂术后畸形整复术

目的 探寻一种功能和外观满意，要后上唇不再遗留或减少手术瘢痕的唇裂术后畸形整复方法。方法 采用复唇沟、唇红缘等轮廓线切口入路，于皮下进行唇裂术后畸形功能性整复。结果 应用该法行手术15例，其中双侧唇裂术后畸形4例，单侧唇裂术后11例，经6个月至2年随访，功能、外观均达到满意的效果。结论 该法一改传统的唇裂术后畸形整复方法，彩和轮廓线切口入路，术后手术瘢痕不明显；皮下充分松解，使原手术瘢痕明显淡化、平整；口轮匝肌从其不正常的附着处分离，恢复肌肉正常走向和功能，重建口轮匝肌环；调整鼻翼软骨、重塑鼻翼软骨，使唇裂鼻恢复正常。从而使患者的诸多畸形在功能和外观上均获得满意的效果。

Cheiloplasty by incising along the outline for correction of the defection caused by cheiloschisis operation

Objective To find a satisfied repairing method which can complete the functional cheiloplasty while avoiding the visible scar after the cheiloschisis II operation for bilateral cleft lip. Methods The functional operation was carried out in subcutaneous layer by incising along the outline of the nose and the mouth. Results A satisfied effect was achieved after 6 months to 2 years' follow up in 15 cases of the patients (4 cases of bilateral cleft, 11 cases of cheiloschisis). Conclusions The new operation method has improved the traditional method of cheiloplasty. It can effectively repair the secondary defection in nose and mouth resulted from the cheilochisis operation. It can rebuild the orbicularis oris muscle and repair the diseased alar catilage as well. Furthermore, it not only brings a natural looking appearance, but also a natural function and an invisible incision scar. [