口内入路法功能性修复唇隐裂

Microform cleft lip functional repairation through the intraoral incision

目的:探讨口内入路法修复唇隐裂的可行性。方法:白、红唇交界区域设计皮瓣,采用口内切口入路,完成口轮匝肌功能性重建、人中嵴的成形和鼻翼畸形的纠正。结果:本组12例患者伤口均I期愈合,并于术后3个月、6个月、1年随访,鼻底丰满度良好,鼻孔横置现象改善明显,人中嵴形态良好。所有患者家长对治疗效果满意。结论:采用口内入路法修复唇隐裂,在重建口轮匝肌环、改善鼻畸形、获得自然人中嵴的基础上避免了瘢痕,获得了美学、功能上的满意效果,是治疗隐裂一种理想的方法。

Objective To explore the feasibility of the microform cleft lip repairation with intraoral incision. Methods Design triangle flap in junctional zone between skin and mucosa,combine with intraoral incision approach,by means of repairing the orbicularis oris muscle,to obtain the reconstruction of philtrum column and nasal wing. Results All cases in this study obtained perfect healing,with good augmentation at floor of the nose.Majoritily with good looking of philtrum and improvement in the shape of nostril. Conclusion The use of the method of functional reparation for cleft lip with intraoral incision can decrease scar on skin,as well as nice reconstruction of the orbicularis oris muscle,philtrum column and nasal wing.