“风筝”瓣在修复唇裂术后继发红唇组织缺损中的临床应用

Effect of “kite” flap repairing method after secondary lips tissue defects

目的探讨唇裂术后继发畸形,即红唇游离缘欠丰满、唇珠缺失的治疗方法。方法自2013年1月至2015年5月共修复唇裂术后继发红唇组织缺损患者19例。依据红唇组织缺损量,在缺损两侧或者一侧设计一三角形"风筝"样黏膜肌瓣,包括黏膜、黏膜下层及部分口轮匝肌。以瓣正下方的组织为蒂,将瓣推进修复缺损创面。继发创面稍作松解,直接缝合。对于红唇组织缺损较大或者唇珠缺失的患者,可以横向做两个三角形"风筝"瓣,相向推进修复缺损。结果 19例患者1周后拆线,"风筝"瓣全部存活,术后满意度主观评分结果较好,瘢痕不明显。结论 "风筝"瓣修复唇裂术后继发红唇组织缺损方法简单,存活率高,瘢痕不明显,值得推广。

Objective To investigate medical treatment of the secondary cleft lip deformity, namelyfree border lack of plumpness, vermilion tubercle defects. Methods According to the defect amountof lip tissues, a triangle “kite” - like mucosal flap was designed on the both sides or oneside of the defects, including the mucosa, the submucosa and some orbicularis muscle. The pedicleflap would be promoted with repaired wounds just below the flap tissues. After a little loosesecondary wound was directly sutured. For the defect of lips tissue or miss of tubercle in patients, we could prepare two lateral triangle ＂ kite＂ flaps to repair the defect in opposite directions.From January 2013 to May 2015 , 19 cleft lip patients with secondary tissue defects werecompletely turned over. Results One week after removal of stitches, 19 patients survived. Thesatisfaction scores were fairly good, scars were less prominent. Conclusion The “kite” flap repairingmethod after secondary lips tissue defects is simple with highly survival rate. The scar isnot obvious, and the method is worthy promoted.