单侧唇裂继发畸形的美学修复

目的 探讨单侧唇裂继发畸形与I期手术方式选择的关系,以及进行唇裂继发畸形美学修复的策略.方法 选择单侧继发唇裂120例,根据I期采用的不同术式进行分组,对唇裂畸形进行观察和分析,采用个体化设计,进行美学修复.对采用Millard、Tennison、矩形瓣及上三角瓣法的单侧唇裂继发畸形修复后,观察上唇人中窝形念、瘢痕、唇峰形态的恢复.结果 显示原采用Millard方法、上三角瓣方法优于Tennison方法和矩形瓣方法.Ⅱ期修复术后效果满意.结论 单侧唇裂I期采用的手术方式对继发畸形的程度和修复有显著影响.

Esthetic repair of secondary deformities of unilateral cleft lip

Objective To explore the relationships between secondary deformities of unilateral cleft lip and selection of mode of initial operation,as well as strategy of esthetic repair for cleft lip.Methods 120 cases of secondary deformities of unilateral cleft lip were selected and grouped according to initial adopted modes of different operation.The deformities of lip and nose were observed and analysed in order tO make esthetic repair with individualized design.After repair with upper triangle flap,rectangle flap,Millard's and Tennison's procedures for secondary deformities of unilateral cleft lip.shape of phihrum dimple,scar,and resumption of shape of cupid's bow were observed and compared.Results Millard's and upper triangle petal's methods were better than Tcnnison's and rectangle flap methods.Conclusion Initially adopted operation mode for unilateral cleft lip has remarkably affected the repair of secondary defortuities.