新生儿单侧唇裂修复术的临床观察

Clinical observation on the cheiloplasty of neonate single hare

目的探讨新生儿单侧唇裂修复术的可行性和修复效果。方法21例新生儿单侧唇裂,在双侧眶下神经行阻滞麻醉,于手术放大镜下定点及手术操作,采用Millard或Tennison,以及对偶三角瓣法进行修复。结果手术麻醉安全,创口愈合顺利,无感染,远期瘢痕细小,外观形态较好,伴有腭裂者裂隙缩窄明显,给日后的腭裂修复创造了有利条件。结论新生儿单侧唇裂修复有诸多优点,完全可在新生儿期进行手术。

Objective To study the feasibility and the effect of neonate cheiloplasty. Methods In 21 cases of neonate cheiloplasty, both infraorbital nerves were anesthetized, then the point was fixed and operated beneath magnifier, using the Millard or Tennison＇s method. Results There was low fatalness in the anesthesia, the wounds were not infected but heal smoothly and had insignificant scarline. Besides, the following apparent coarctation of the cleftpalate was in favor of cleftpalate-plasty somewhile. Conclu- sion There are many advantages of the neonate cheiloplasty and the operating in neonatal time is reasonable.