用改进的Tennison法修复单侧唇裂

PAIRING UNILATERAL CLEFT LIP WITH IM PROVED TENNISON’S METHOD

目的:介绍一种改进的Tennison法,用于修复单侧先天性上唇裂。方法:分析传统的Tennison法修复单侧唇裂的手术设计和术后效果,并和改进的Tennison法对比。结果:观察到传统的Tennison法有切除上唇组织过多的不足之处,同时它重建患侧人中嵴的形态不尽满意。改良的Tennison法改变了原来的切口设计,有效地利用了患侧上唇组织,同时术中解剖出了上唇裂隙边缘两侧的口轮匝肌,并折叠了此处肌肉,重建了患侧人中嵴。结论:本文采用的改进Tennison法能节省患侧上唇组织,降低了上唇组织张力,重建了患侧人中嵴,恢复了口轮匝肌功能,弥补了传统的Tennison法的不足之处。

Objective:To introduce an improved Tennsion's method for repairing unilateral con genital cleft lip.Methods:Analysing the design and postoperative result of the traditional Tennsion's method,and compared with the result of the improved Tennsion's method.Results:Note that the traditional Tennsion' s method had a defect of resecting upp er lip tissue excessively,and recon structed an unideal philtrum crest.The modified Tennsion's method reformed the operational design of traditional method,and a natomized the orbicular muscle of mouth,reconstructed the p hiltrum crest.Conclusion:The modified Tennsion's method whic h has been related in this paper can widen the upper lip,reconstruct the philtrum ridge,rehabilitate th e function of the orbicularis oris.