双旗形皮瓣法修复烧伤后上唇中部过短畸形的临床效果

Correction of shortened middle part of upper lip post burn deformity with double flag-shaped flap

目的 探讨双旗形皮瓣法修复烧伤后上唇中部过短畸形的临床效果.方法 2009年1月至2013年12月,对9例烧伤后上唇过短畸形患者采用双旗形皮瓣法修复,其中男4例,女5例,年龄18～37岁,手术时间为烧伤后1～3年.主要的临床表现为上唇外翻、上唇中部过短、人中正常解剖破坏、人中嵴不明显和红唇连续性差等畸形.结果 9例患者术后上唇中部加高4～6 mm,从根本上矫正了烧伤后上唇中部过短引发的上唇畸形,随访3个月至3年,效果满意.术后切口均Ⅰ期愈合,无皮瓣血运障碍、无切口感染、无裂开等并发症.结论 上唇鼻底部双旗形皮瓣法是一种操作简单、效果良好的烧伤后上唇中部过短畸形矫正的方法.

Objective To explore the surgical method of double flag-shaped flap to correct the shortened middle part of upper lip deformity of post burn.Methods From January 2009 to December 2013,9 cases of shortened middle part of upper lip post burn deformity were corrected by double flag-shaped flap,including 4 males and 5 females who aged from 18 to 37 years.They received the surgery from 1 to 3 years after burn.The main clinical manifestations included the upper lip eversion,too short middle part of upper lip,the destruction of the normal anatomy philtrum,philtrum column deformity and poor continuity vermilion border.Results The height of the middle of upper lip of 9 patients enrolled in the experimental treatment was lengthened by 4 to 6 mm after operation,which fundamentally corrected the shortened middle part of upper lip deformity of post burn.The patients were followed up for a period of 3 months to 2 years and received satisfactory results.The operative incisions of 9 cases were primary healing,with no flap blood supply disorders,wound infection,dehiscence and other complications.Conclusions Double flag-shaped flap of the upper lip at the nostrils bottom is a simple and good effective method to correct the shortened middle part of upper lip deformity of post burn.