带蒂唇红黏膜肌瓣修复单侧唇裂继发唇珠缺失

Pedicled Lip Vermilion Mucosa Muscle Flap for Repairing Unilateral Cleft Lip with Secondary Vermilion Tubercle Defect

【目的】探索使用带蒂唇红黏膜肌肉组织瓣修复单侧唇裂继发唇珠缺失的效果。【方法】在单侧唇裂继发畸形外侧过多的唇红处设计椭圆形切口线，以切口部唇红为唇红黏膜肌肉组织瓣的远端，逆行设计蒂位于重建唇珠部肌层深面的唇红黏膜肌肉组织瓣。唇红中部设计受区水平切口线，与唇红椭圆形切口线相交，依切口线切开唇红，切取复合瓣，水平转移至上唇正中，按黏膜，肌层分别缝合。【结果】19例患者术后上唇唇珠形态明显改善，受、供区瘢痕不明显。【结论】用带蒂唇红黏膜肌肉组织瓣修复单侧唇裂继发唇珠缺失方法简单，就近取材，手术I期完成，疗效满意。

[Objective]To explore the efficacy of pedicle lip vermilion mucosa muscle flap for repairing unilateral cleft lip with secondary vermilion. [Methods] The elliptical incision line in the excessive vermilion of lip of unilateral cleft lip with secondary deformity was designed. Retrograde lip vermilion mucosa muscle flap with the vermilion of lip in the incision line as the distal end and the pedicle at the deep layer of vermilion tu- bercle was designed. The horizon incision line in the recipient area was devised in the middle of vermilion of lip and intersected with elliptical incision of vermillion. The lip vermilion was dissected along incision line. The compound flap was obtained and transferred to the middle of upper lip. Then the mucosa and muscle layer were sutured. [Results] The appearance of postoperative vermilion tubercles of upper lip in 19 patients were improved obviously, and the scar in recipient and donor area was not conspicuous. [Conclusion] The pedicled lip vermilion mucosa muscle flap for repairing the unilateral cleft lip with secondary vermilion tubercle defect is simple and can draw the material from the neighborhood. The operation is completed by one stage, and has satisfactory efficacy.