论文部分内容阅读
对于双侧唇裂的整复,迄今仍处于不断的改进之中,不计其数的方法已经付诸应用。作者将这些方法归作三类,第一类包括在双侧唇裂修复中应用与单侧唇裂矫正原则相同的技术,第二类方法是分两期或三期关闭裂隙;第三类方法是直接关闭裂隙。作者在实践中对第三类方法作了某些改进,使得修复后的唇,形态更加自然、美观、对称,颊沟更深,效果更佳。手术方法患儿的施术年龄为3个月,手术在全麻下进行。作者的常规方法,包括应用双侧梨骨瓣完全封闭原腭裂,这样可减少手术后并发瘘道的危险。手术操作如下(图1):在鼻小柱基底,前唇中点,设点X,另
For the restoration of bilateral cleft lip, so far is still under continuous improvement, countless methods have been put into use. The authors classify these as three categories. The first category includes the application of the same technique as unilateral cleft lip correction in bilateral cleft lip repair. The second is to close the cleft in either two or three stages. The third category is direct Close the crack. In practice, the author made some improvements to the third method, making the repaired lip more natural, beautiful and symmetrical with a deeper cheek groove and a better effect. Surgical operation in children with the age of 3 months, surgery under general anesthesia. The authors' conventional methods, including the application of bilateral petiole flap, completely close the original cleft palate, thus reducing the risk of postoperative fistula. Surgical operation is as follows (Figure 1): the base of the columella, the midpoint of the anterior lip, set point X, the other