应用双侧唇红黏膜滑行瓣修复双侧唇裂术后唇珠缺失5例报告

Application of bilateral sliding red lip flaps in correction of the secondary lip deformities of bilateral cleft lip with postoperative vermilion tubercle defect in 5 consecutive cases

目的:评价双侧唇裂术后唇珠缺失修复中应用双侧唇红黏膜滑行瓣再造唇珠的疗效。方法:收集我科2015年3月—2017年5月收治的双侧唇裂术后唇珠缺失患者5例,男2例,女3例;年龄7~26岁,中位年龄13岁,平均14岁。于全麻下行双侧唇畸形矫正术,术中同期设计双侧唇红黏膜滑行瓣向下方滑行、转移再造唇珠,以达到再造唇珠、消灭口哨畸形的目的。结果:术后切口均一期愈合,随访2~26个月,唇珠形态稳定,未再出现口哨畸形。整体上唇形态满意。结论:双侧唇裂术后继发唇珠缺失、口哨畸形的修复方法较少,在唇红黏膜上保留原来需要被切除的瘢痕组织并通过适当修整、滑行、重建再造唇珠,消灭口哨畸形,可以得到稳定满意的效果,值得临床推广应用。

PURPOSE：To investigate the effectiveness of bilateral sliding red lip flaps for secondary lip deformities correction of bilateral cleft lip with postoperative vermilion tubercle defect. METHODS： Between March 2015 and May2017, five patients with postoperative bilateral cleft lip vermilion tubercle defect were treated. There were 2 males and 3 females with a median age of 13 years old and an average age of 14 years old（ranged from 7 to 26 years old）. Secondary lip deformities correction with bilateral sliding red lip flaps was done under general anesthesia. On the basis of red lip open incision, bilateral sliding red lip flaps were used to reconstruct the vermilion tubercle. At the same time, whistling lip deformity was eliminated. RESULTS： All incisions healed primarily. Good aesthetic results were obtained in all 5 cases with satisfactory vermilion tubercle appearance during 2-26 months of follow-up. CONCLUSIONS： Bilateral sliding red lip flaps can reconstruct vermilion tubercle defect, and it is worth of wide application.