Trilobate flap combined with reconstruction of nasal-labial Muscle Tension Lines Group theory in unilateral cleft lip repair
10.3760/cma.j.issn.1009-4598.2019.01.002
- VernacularTitle: 三叶瓣法结合唇鼻肌肉张力系统构建的单侧唇裂修复术式
- Author:
Weiyi SUN
1
;
Yongqian WANG
;
Tao SONG
;
Di WU
;
Haidong LI
;
Ningbei YIN
Author Information
1. Center of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Surgical flap;
Three-dimensional reconstruction;
Nasal-labial Muscle Tension Lines Group;
Unilateral cleft lip
- From:
Chinese Journal of Plastic Surgery
2019;35(1):6-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study is to investigate the outcome of unilateral cleft lip repairment using trilobate flap and nasal-labial muscle tension system reconstruction.
Methods:From January 2015 to December 2017, 264 children with unilateral cleft lip were performed cheiloplasty. For all the patients, trilobate flap was adopted. The tension lines group among nasal-labial muscles were reconstructed following a three-dimensional pattern. Long-term results were evaluated using postoperative photos. Three measurements were collected, to compare the nasolabial contour on the cleft side and noncleft side.
Results:Six to 12 months follow-up was completed in 112 patients. Asymmetry percentage of lip height was (2.98±1.65)%, while nostril width ratio was 1.02±0.05, and nostril height ratio was 0.94±0.04. Aesthetic contour of vermillion and philtrum were satisfied.
Conclusions:Trilobate flap technique combined with the reconstruction of nasal-labial muscle tension system have reliable effect on unilateral cleft lip repair. With proper application, satisfactory and stable outcomes can be achieved.
