双侧完全性唇裂45例修复体会

Clinical experience of repair of bilateral cleff lip

目的:探讨双侧完全性唇裂的修复术式和技巧。方法:45例双侧完全性唇裂患儿于6～9个月时行前唇原长法修复,封闭鼻底,行前庭沟加深及口轮匝肌重建,侧唇红唇肌瓣修复中份唇红缘和唇珠。术后随访3个月～2年。结果:术后创口全部I期愈合,唇弓形态好,唇珠丰满,上唇静态及动态时协调。结论:采用此前唇原长法修复双侧完全性唇裂可获得术后上唇静、动态美感达到较满意的效果。

Objective To detect the operative technique of bilateral cleft lip. Methods 45 cases with bilateral cleft lip were treated by non-elongated cheiloplasty at 6-9 months,nasal floor completely closed.The mucosal flap of the anterior lip is used to deepen the lip furrow.The orbicularis oris muscle was sufficiently dissociated from lateral labial segment and functional reconstructed,The shape of vermilion tubercle and Cupid＇s bow was achieved by lateral red lip muscle flap.Postoperative follow-up was 0.3-2a. Results Primary healing of the incision was achieved, all cases showed satisfactory results with nice Cupid＇s bow, turgor vitalis of vermilion of the lip. The upper lip and nasal contours on quiet and dynamic state were satisfactory. Conclusion It is a recommended operative technique for bilateral cleft lip that could obtain further moving effect and perfect lip appearance by using functional orbicular muscle repair and deepening prolabiai vestibulum.