口内外入路修复单侧微小型唇裂临床研究

Clinical Study of Unilateral Microform Cleft Lip Repair Via the Use of Intraoral and Extra-oral Approaches

目的:探讨口内外联合入路修复单侧微小型唇裂的治疗效果。方法:选择2018年1月-2019年1月笔者医院收治的4例单侧微小型唇裂患者为研究对象,采用口内外联合入路法进行微小型唇裂的修复,口内通过口腔前庭沟处切口进行口轮匝肌的重建修复,口外唇红部通过Z形切口纠正唇部畸形,上唇皮肤凹陷及鼻部畸形视情况进一步治疗。结果:4例患者切口均为甲级愈合,唇红缘连续,口轮匝肌重建良好,唇弓形态正常,唇凹陷及鼻部畸形得到了较大改善。结论:采用口内外联合入路可以在较小创伤的基础上,恢复单侧微小型唇裂患者唇部形态及结构,改善美观。

Objective The aim of this study was to devise an operative technique for unilateral microform cleft lip repair via the use of intraoral and extra-oral approaches.Methods From January 2018 to January 2019,4 patients with cleft lip diagnosed as mini-microform cleft lip were recorded.All of them were treated by intra-oral and extra-oral surgical treatment in our department.The orbicularis oris muscle was reconstructed by intraoral vestibular groove incision,the lip deformity was corrected by Z-shaped incision,and the skin deformity and nasal deformity were further treated.Results It provided an optimal functional result with correction of the cleft furrow,vermillion notch,and cleft nose deformity.The shape of lip was recovered well,and the functional effect could be obtained through the dissecting reconstruction of orbicular muscle of mouth.Conclusion Intra-oral and extra-oral approaches can restore the lip shape and structure,and achieve aesthetic results with minimally invasive surgery.