Functional repair of cleft lip: from anatomical resetting to biomechanical simulation
10.3760/cma.j.issn.1002-0098.2017.04.004
- VernacularTitle: 中国式功能性唇裂修复术
- Author:
Ningbei YIN
1
Author Information
1. 1st Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China
- Publication Type:Journal Article
- Keywords:
Cleft lip;
Biomechanics;
Muscle;
Morphology
- From:
Chinese Journal of Stomatology
2017;52(4):212-217
- CountryChina
- Language:Chinese
-
Abstract:
We are no longer entangled in the anatomical resetting of the labial-nasal muscle itself, but the sight to the muscle fiber level, to study the relationship between the muscle fiber force line and the labial-nasal shape. In the past ten years, we focused on the lip of nasal muscle fiber anatomy, imageology and biomechanics, carried out a series of research works, realized the three-dimensional (3D) visualization of small labial-nasal muscle fiber, established configuration models of normal and cleft lip with nasal muscle fibers, and put forward the hypothesis of naso-labial muscle tension band. According to the biomechanical parameters of lip nasal muscle, cartilage, skin and subcutaneous tissue, we initially established a biomechanical model elaborating the relationship between labial-nasal muscle tension lines and surface morphology; we summed up three muscle tension group which determines labial-nasal contour, explained the biomechanical mechanism in cleft lip and various lip nasal deformities, and realized the possibility to freely change the 3D labial-nasal contour by lip nasal lip nasal muscle tension theory; Finally we carried out clinical validation in clinical treatment of cleft lip, achieved the effect of detail cleft lip repairing.
