摘要
目的探索运用一种较为简单、有效的手术方法，修复唇吹哨状畸形。方法根据红唇组织缺损的不同程度，设计1或2个垂直易位唇黏膜瓣。首先，在红唇缺损部位做一横行切开，形成受区创面，然后在其邻近部位设计与之垂直的1个或2个易位唇黏膜瓣。瓣的长度0．6～1．4cm，宽度0．4～0．7cm，其最大长宽比例约3：1，将唇黏膜瓣向上旋转覆盖红唇受区修复缺损。有时，还可以通过附加切口，修复唇缘及白唇畸形。结果共治疗25例，经1～15个月随访，全部病例效果令人满意，无任何并发症，唇部切口瘢痕不明显。结论如果供区有较丰富的黏膜组织，应用垂直易位唇黏膜瓣修复唇组织吹哨状畸形是一种简单有效实用的手术方法，效果令人满意。
Objective To explore and use a simple effective technique for repairing whistling deformities and similar defects of upper lip. Methods According to various degrees of the defect on the vermilion, one or two lip flaps were designed. At the first, a horizontal incision was performed in the area of vermilion defect to make the wound as a recipient area, then one or two lip flaps were formed, which were vertical against horizontal incision and close to area of deformity. Lengths of the flap ranged from 0.6 to 1.4cm, widths of the flap ranged from 0.4-0.7cm, and maximum ratio of length to width was 3：1. At last, the lip flaps were rotated up to recipient area for repairing whistling deformities. Sometimes deformities of Cupid＇s bow and white lip were repaired at the same time through making additional incision. Resalts Follow-up for 1 to 15 months showed that 25 cases of operation were with satisfactory results, vermilion deformities were repaired or acquired visible improvement without complications and without leaving clear incision scar at lip after operation from November 2002 to September 2004. Conclusion In general application of vertical lip flaps could achieve anticipatory objective for repairing the whistling deformities on lip if there are sufficient membraneous tissue in donor area. This operation is simple, practical and satisfactory.
出处
《中华医学美学美容杂志》
2006年第1期18-20,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
红唇
吹哨状畸形
唇黏膜瓣
修复
Vermilionlip
Whistling deformity
mueosaflap of lip
Repair
