根据口鼻轮廓设计单侧唇裂Ⅱ期修复手术

Second stage surgery for repair of unilateral cleft lip based on the design of nose and mouth contour

目的 探讨根据口鼻轮廓线设计单侧唇裂Ⅱ期修复手术的方法及临床效果.方法 通过对鼻唇弯曲轮廓的细微研究,从解剖、力学分析入手,结合唇裂畸形的特点,逐步形成以口鼻弯曲轮廓线为手术切口的术式,参考水平线和正中垂直线及外形,对单侧唇裂患者进行Ⅱ期综合整体修复术.结果 该手术方法应用于临床效果医患双方满意.结论 根据口鼻轮廓线设计单侧唇裂Ⅱ期修复术,能取得良好的畸形修复和外形美观效果.

Objective To investigate the approach and clinical efficacy of second repair surgery according to the nose and mouth contour design of unilateral cleft lip.Methods Based on the characteristics of anatomy,mechanics and deformity of the cleft lip,we designed a surgical incision of nasolabial contour lines with reference to the horizontal and central vertical lines and the contour.After careful investigation of classic procedures and clinical practice,unilateral cleft lip was repaired by overall stage Ⅱ surgical procedures.Results Application of this surgical method with satisfactory clinical efficacy had been achieved.Conclusions The second stage repair personalized surgical methods of unilateral cleft lip designed according to the nose and mouth contour can achieve maximal correction of malformation and beautiful appearance.