唇粘连术对新生儿唇腭裂修复的影响

摘要

目的：   观察唇粘连术对单侧完全性唇裂患儿唇鼻畸形的改善效果。方法   对14例刚出生的单侧完全性唇裂婴儿在唇裂手术前进行唇粘连术，观察术前和术后1周患儿的鼻部以及上唇各项定点指标的改变情况。结果   唇粘连术后，患儿鼻孔、鼻小柱及上唇形态得到明显改善，裂侧鼻孔宽度变窄、高度抬高，扁平的鼻翼呈拱形隆起，鼻小柱偏斜度减少，上唇形态明显改善。结论   唇粘连术后对完全性唇裂患儿的唇鼻形态改善有较为明显的作用，为唇裂修复术创造了良好的条件。%Objective   To observe the clinical effects of complete cleft lips of newborns with lip adhesion. Methods   Lip adhesion was carried out on 14 newborns of complete cleft lip before cleft lip reparative surgery. Various nasal and upper lip parameters were compared between pre-surgery and post-surgery situations. Results  There is obvious improvement for all 14 cases in the morphology of nostrils, nasal columella and upper lip. The nostril width narrows, height increases, and the flat nasal alar becomes more lift-up as an arch. The gradient of nasal columella decreases. Conclusion   Lip adhesion of cleft lip has a significant role in the improvement of nasal and lip shape, which creates an ideal condition for surgical operation.