Repair of unilateral cleft by contralateral arc incision and 3D reconstruntion of lip muscle
10.3760/cma.j.issn.1671-0290.2016.06.005
- VernacularTitle:健侧弧线手术切口及三维肌肉重建修复单侧唇裂的临床效果
- Author:
Mingde LIAO
;
Qingfeng LIU
;
Guoqian YIN
;
Qiang WEI
;
Haiseheng YU
;
Xuchang MENG
;
Ke MA
;
Zhao QIN
- Keywords:
Incision;
3D Muscle reconstruction;
Repair;
Unilateral cleft lip
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2016;22(6):335-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of reconstructing unilateral cleft lip by changing the arc-shaped incision, combined with the 3D reconstruction of upper lip muscles.Methods Twenty unilateral cleft lip patients were treated by using a new surgical operation, the 3D reconstruction of upper lip muscle, to restore normal anatomy and stress of the mucous membrane, muscle and skin.Operation scar was designed for straight line, located on the philtral ridges of the contour line;phitrum and philtral ridges were rebuilt, and postoperative scar reduced.Results A lot of 20 patients had no local infection, hemorrhage, complex crack, and were stage I incision healing.Followed up for 1-8 months postoperatively, the patient's lip bow line continuity was good, with symmetrical shape and good phitrum and philtral ridges;scar was hidden on the philtral ridges of the contour line, and no obvious upper lip scar contracture found through the follow-up period.Conclusions This improved method is simple in the incision design, and less scar hidden on the philtral ridges of the contour line after operation, which can maximize the recovery of the appearance of nose and upper lip with satisfactory effect.It is a feasible improvement method of repairing unilateral cleft lip.
