下唇双蒂口轮匝肌黏膜瓣一期修复双侧唇裂术后口哨样畸形

Correction of whistle deformity in bilateral cleft lip with lower lip bipedicle orbicularis oris musculomucosal island flap

目的 探讨一种修复双侧唇裂术后继发中、重度口哨样畸形的方法.方法 在下唇中央设计一类似于Abbe瓣的倒三角形组织瓣,将两侧去表皮的双蒂口轮匝肌肌肉黏膜瓣向上翻转埋置于上唇缺损处,对位缝合,矫正上唇口哨样畸形.结果 2013年8月至2015年8月,采用上述方法修复双侧唇裂术后继发口哨畸形10例,所有病例术后均一期愈合,经（11＆#177;6）个月随访,唇部形态明显改善,唇珠丰满,上、下唇比例协调.结论 下唇双蒂口轮匝肌黏膜瓣可较好地一期修复双侧唇裂术后继发中、重度口哨样畸形.

Objective To explore a new method to correct the whistle deformity in bilateral cleft lip.Methods A lower lip bipedicle orbicularis oris musculomucosal island flap was designed to repair the upper vermilion defect.The pedicle of this flap was deepidermidalized and then embedded into the upper lip.The dry lip in the central was reserved to reconstruct the vermilion tubercle.Results From Aug.2013 to Aug.2015,10 cases were treated successfully with primary healing.With the follow-up period of 5-17 months,the appearance of upper lip was greatly improved with a balanced proportion and full lip tubercle.Conclusions This lower lip bipedicle orbicularis oris musculomucosal island flap is an ideal method for the correction of whistle deformity in bilateral cleft lip.