皮肤红唇复合三角瓣并口轮匝肌功能性修复在先天性唇裂红唇整复中的应用

摘要

目的 探讨更为理想的先天性唇裂红唇修复方法.方法 2010年3月至2013年1月,应用皮肤红唇复合三角瓣并口轮匝肌功能性修复的方法,对68例先天性唇裂患者行红唇整复及唇珠再造.结果 68例患者红唇部切口一期愈合,术后随访46例,时间为3个月至1年,其中8例有裂隙两侧红唇厚薄不均、唇珠偏歪的表现,其余病例唇弓线、唇吻线连续性良好,形态对称,唇珠外翘、饱满,位置适中.结论 口轮匝肌的精确复位是红唇整复及唇珠再造的关键,本方法设计简单、合理,可以很好地修复红唇.%Objective To investigate the ideal method for correction of vermilion deformity in congenital cleft lip.Methods From Mar.2010 to Jan.2013,68 cases with congenital cleft lip underwent vermilion deformities correction with composite skin-vermilion triangle fap and functional reposition of orbicularis oris muscle.Results Primary healing was achieved in all the patients.46 cases were followed up for 3 months to one year.Asymmetric thickness of vermilion and tubercle malposition happened in 8 cases.All the other patients had a satisfactory result with symmetric and fluent cupid' s bow and everting tubercle.Conclusion Well reposition of orbicularic oris muscle is key for correction of vermilion deformity and tubercle reconstruction.This technique is very simple and practical.