| 摘要: |
| ［摘要］ 目的 探讨改良加长法及口轮匝肌功能性复位修复双侧唇裂的手术方式和临床效果。方法 对2012-11～2013-10该院收治的15例双侧唇裂婴幼儿患者，采用改良加长法及口轮匝肌功能性复位进行手术修复。该方法利用侧唇上唇弓缘及极少量白唇，再造唇弓，同时对口轮匝肌进行解剖学重建。结果 15例双侧唇裂患儿术后均Ⅰ期愈合，双侧唇高、鼻翼和唇红形态对称，唇弓形态良好，上唇运动时各部分协调一致，效果满意。结论 双侧唇裂行改良加长法及口轮匝肌功能性复位修复术，可获得满意的外形及功能效果，值得临床推广运用。 |
| 关键词: 双侧唇裂 改良加长法 口轮匝肌 修复 |
| DOI：10.3969/j.issn.1674-3806.2014.12.20 |
| 分类号:R 78 |
| 基金项目: |
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| Modified extension method and the orbicularis oris muscle function reduction in the repair of bilateral cleft lip: report of 15 cases |
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LIANG Mei
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Department of Stomatology, the First People′s Hospital of Yulin, Guangxi 537000, China
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| Abstract: |
| ［Abstract］ Objective To explore the operative methods and clinical effect for bilateral cleft lip with modified extension method and the orbicularis oris muscle function reduction.Methods Fifteen infants with bilateral cleft lip were treated by modified extension method and the orbicularis oris muscle function reduction treatment from November 2012 to October 2013. In the method, upper lip′s arch edge of lateral lip and a small amount of white lip were used for reengineering labial arch, and the the orbicularis oris muscle was reconstructed.Results In fifteen infants with bilateral cleft lip primary healing was obtained, with symmetry bilateral lip height, pinna nasi, red lip and better morphology of labial arch. All parts of upper lip could coordinate when the orbicular muscles moved. The effects were satisfactory.Conclusion The patients can get excellent nasolabial profile and function through modified extension method and the orbicularis oris muscle function reduction, and this method is worthy to be popularized and applied. |
| Key words: Bilateral cleft lip Modified extension method Orbicularis oris muscle Repair |
