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双侧唇裂功能性修复93例临床观察

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目的探讨双侧唇裂功能性修复的手术效果。方法针对患者双侧唇裂的大小和形状,在双侧唇裂保持原长法的基础上,对口轮匝肌功能进行修复重建,行再造唇龈沟和鼻底封闭,利用侧唇粘膜修复唇珠和唇红。结果93例患者术后随访1年,患者远期唇部外形较好,愈合效果满意,唇部无明显瘢痕,唇红较丰满。结论双侧唇裂功能性修复术需要对口轮匝肌进行广泛修复和加深前庭沟,才能保证修复效果。功能性修复术值得临床推广。
Clinic observation of functional repair for 93 bilateral cleft lip
Objective To explore the result and application of functional repair for bilateral cleft lip. Methods According to patients bilateral cleft lip size and shape, the chief design principle was keeping the length. During operation, orbicular or is need to be sufficiently dissociated from lateral labial segment and functional reconstructed in the middle of prolabial. Results 93 patients were followed up for 1 year, all parts of upper lip coordinate when the bicolor muscles move, the upper lip and nasal contours on quiet and dynamic state were satisfactory without unsightly scar. Conclusion It is a recommended processor to obtain further moving effect and perfect lip appearance using functional orbicular muscle repair and deepening prolabial vestibule.

Bilateral cleft lipFunctional repairClinic observation

李振强、李浪、陈国恩、李基才

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529100 广东省江门市新会人民医院手足外科

双侧唇裂 功能性修复 临床观察

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(15)
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