“改良Barsky”法在唇裂二期上唇畸形修复中的应用

Application of modified Barsky method in the secondary repair of upper lip deformity of cleft lip

目的总结应用改良Barsky法修复单侧或双侧唇裂二期畸形的经验。方法依照Barsky法根据Barsky法的基本原则设计固定方向的切口及瘢痕切除范围,所有切口均矫正为直线,切开后形成类似"Z皮瓣"的切口,美容缝合。结果应用本方法修复后的25例患者愈合良好,双侧唇峰和唇珠外观接近正常,上唇对称度增加。结论应用改良Barsky法修复唇裂修复后期上唇畸形,可以较好的延长上唇白唇长度,改善唇弓形态。由于该方法具有对称性,可以同时应用于单侧或双侧唇裂后期修复。

Objective To sum up the experiences of secondary repair of upper lip deformity of cleft lip by modified Barsky method. Methods Designed the incision and scar excision according to the basic Barsky method. All incisions were corrected to straight line which similar to the ＂Z flap＂ incision. Results Twenty five cleft lip patients healed well, the bilateral lip peak and vermilion tubercle appearance was near normal, and the degree of symmetry of upper lip increased. Conclusion Application of the modified Barsky method to repair upper lip deformity after the primary repair of cleft lip can extend the length of the white-lipped of upper lip, improve the shape of the cupid bow. Due to the symmetry of the method, it can be applied to the late repair of unilateral or bilateral cleft lip.