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目的为唇裂患者塑造一个正常唇的美好形态。改进现在常用的手术对人中嵴、人中窝和朱缘弓这三个重要美容结构的塑造中的缺欠,使修复后的上唇丰满、松动。方法在鼻小柱裂侧面形成一个矩形瓣,将其与人中一起垂直下降,补充裂侧唇人中的长度不足和保持朱缘弓在下降的正常位。结果 3年来,共用新法修复单侧唇裂23例,双侧唇裂9例,继发唇裂畸形14例。都没有常用方法的缺点。结论唇裂的鼻小柱侧面皮瓣修复法是较常用手术更符合整形外科从隐蔽处采取组织来修复组织缺损的原则的新方法,可以取得更好的形态效果。
Aims to create a beautiful, normal lip shape for patients with cleft lip. Improve the current commonly used surgery on the human crest, the middle of the nest and Zhu margin of the margin of the three major cosmetic structure defects, the repair of the upper lip plump, loose. Methods A rectangular flap was formed on the side of the nasal columella and was lowered vertically together with the human to supplement the length deficit in the labial cleft lip and maintain the normal position where the margin fell. Results In the past three years, 23 cases of unilateral cleft lip, 9 cases of bilateral cleft lip and 14 cases of secondary cleft lip deformity were repaired with the new method. There are no shortcomings of the commonly used methods. Conclusions The cleft lip columella lateral flap repair is a new method that is more suitable for the plastic surgery than the common surgery to take the tissue from the hide to repair the tissue defect, and can achieve better morphological effects.