面横裂的功能性整复

Application of Functional Reconstruction in Transverse Facial Cleft

目的探索面横裂的功能性整复手术的临床效果。方法自2003-2011年间,对11例先天性面横裂患儿行面横裂整复术,采用反向双＂Z＂字成形联合口轮匝肌复位重建。结果11例患儿术后随访3~12个月,术后无1例出现口角炎、口角溃烂等并发症,唇外形自然,运动协调,颊部丰满。结论面横裂的功能性整复手术,可以较大程度改善上下唇的运动协调性,术后患者表情自然。

Objective To explore the effect of functional reconstruction in the reconstruction of transverse facial cleft. Methods From 2003 to 2011, 11 cases with transverse facial cleft were repaired by functional reconstruction. The skin of cheek was crossed by Z flap to prevent the scar from shrinking straightly and the thin tissues from depressed deformity. Functional muscle trimming was done to repair the ring structure of musculus orbiculatis otis. Results All the patients were followed for 3 to 12 months and there were no angular chilitis and formation of ulceration. The natural appearance of the lips, coordinate movements and plump cheeks were achieved. Conclusion Functional reconstruction of transverse facial cleft could improve the coordinate lip movements greatly and achieve natural facial expression.