66例双侧唇裂功能性整复的临床疗效观察

发布时间：2018-05-10 22:31

本文选题：Mulliken法 + 双侧唇裂　；参考：《上海口腔医学》2014年05期

【摘要】：目的:探讨改良Mulliken法功能性修复双侧唇裂的临床效果。方法 :选取66例双侧唇裂患者,应用改良Mulliken法进行唇裂整复,术中在前唇设计窄的"领带"型人中结构;解剖复位侧唇口轮匝肌,重建口轮匝肌环;利用侧唇唇红组织重建唇珠。同期初步矫正鼻畸形,延长鼻小柱。结果:术后经0.5~2 a随访,所有患者无"三等份上唇"不良外观,超过80%(54/66)的患者上唇唇弓形态恢复自然,左右对称,人中宽度与正常相似。唇红丰满,唇珠大小适度,无口哨畸形,动静态外形良好。鼻底宽度正常、鼻孔形态对称,鼻小柱高度较术前延长,鼻尖形态基本满意。结论:利用改良Mulliken法功能性修复双侧唇裂,能有效纠正鼻唇畸形,临床效果良好,值得推广使用。
[Abstract]:Objective: to investigate the clinical effect of functional repair of bilateral cleft lip with modified Mulliken method. Methods: 66 patients with bilateral cleft lip were treated with modified Mulliken method. The narrow "tie" structure of the anterior lip was designed during the operation, the orbicularis oris muscle was anatomically reduced and the orbicularis oris muscle ring was reconstructed. The red tissue of lateral lip was used to reconstruct lip beads. At the same time, the initial correction of nasal deformity, prolonged nasal column. Results: all the patients were followed up for 2 years after the operation. There was no abnormal appearance of "triple upper lip". The shape of the arch of upper lip returned to nature, left and right symmetrical, and the width of human middle lip was similar to that of normal. Red lips full, lip beads appropriate size, no whistling deformity, dynamic and static shape is good. The nasal fundus width was normal, the nostril shape was symmetrical, the height of nasal column was longer than that before operation, and the nasal tip shape was basically satisfactory. Conclusion: functional repair of bilateral cleft lip with modified Mulliken method can effectively correct nasolabial malformation and is worth popularizing.
【作者单位】：南京医科大学口腔研究所;南京医科大学附属口腔医院口腔颌面外科;
【基金】：江苏高校优势学科建设工程资助项目(201437)~~
【分类号】：R782.21

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