隐性唇裂畸形机制的肌肉张力带解析

Analysis of the mechanism of lesser-form cleft lip: based on the Muscle Tension Lines Group theory

临床上由于对隐性唇裂的发生机制认识不足,在治疗方面倾向于采用唇裂的一般治疗思路进行"肌肉解剖复位",修复效果常常与患者预期相距甚远。作者根据十余年来对唇隐裂的解剖学研究及临床观察,系统阐述了唇隐裂的肌肉错构特征,解释了唇隐裂令人困惑的临床表现。并进一步对隐性唇裂进行病理机制分型,提出唇隐裂的肌肉生物力学仿生修复技术——"尹氏唇鼻肌肉框架",以指导临床手术治疗。该文初步总结了作者近年来对隐性唇裂的重新理解和认识,应用唇鼻肌肉张力带理论解析唇隐裂中诸多谜团,这个过程本身亦是对张力带理论的一次临床实践检验。

Due to insufficient understanding of the mechanism of the lesser-form cleft lip in clinical practice, the " muscle anatomical reduction" method, which is the general treatment option for the typical cleft lip, is also preferred for the treatment of lesser-form cleft lip, and the repair effect is often far from the patient′s expectation. Based on the anatomical study and clinical observation of the lesser-form cleft lip in more than ten years, the author systematically describes the characteristics regarding the disarrangement of muscle and explains the confusing clinical features of the lesser-form cleft lip. In addition, the pathological mechanism of the lesser-form cleft lip is further classified, and the muscle biomechanical biomimetic repair technique of this defect-" Yin′s nasolabial muscle frame" is proposed to guide clinical operations. This article preliminarily summarizes the author′s new understanding of the lesser-form cleft lip in recent years. The nasolabial Muscle Tension Lines Group(MTLG) theory is applied to analyze and solve puzzles in the lesser-form cleft lip. This process itself also serves as a clinical practice test of the MTLG theory.