口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (6): 626-628.DOI: 10.13701/j.cnki.kqyxyj.2017.06.012

• 临床研究论著 • 上一篇    下一篇

对偶三角瓣联合口轮匝肌解剖复位法在单侧面横裂矫正术中的应用

米热古丽图尔荪江, 何慧君, 傅豫川, 徐玉丽, 陈慧兰, 柯金, 孟庆功, 金辉喜, 钦传奇, 李健*   

  1. 武汉大学口腔医院颞下颌关节、唇腭裂及涎腺外科,武汉大学口腔医学院口腔生物医学工程教育部重点实验室 湖北 武汉 430079)
  • 收稿日期:2016-11-13 出版日期:2017-06-20 发布日期:2017-06-26
  • 通讯作者: 李健,电话:18627177299
  • 作者简介:米热古丽图尔荪江(1990~ ),女,新疆和田人,硕士在读,主要从事口腔颌面外科的临床研究工作。
  • 基金资助:
    国家自然科学基金青年基金(编号:30901684)
    武汉市唇腭裂序列治疗临床医学研究中心(编号:304-230100041)

Experience in Transverse Facial Cleft Repair with Symmetric Triangular Flap and Reconstruction of Orbicular Muscles of Mouth.

MIREGULI Tuersunjiang, HE Hui-jun, FU Yu-chuan, XU Yu-li, CHEN Hui-lan, KE Jin, MENG Qing-gong, JIN Hui-xi, QING Chuan-qi, LI Jian*.   

  1. Department of Temporomandibular Joint, School of Stomatology, Wuhan University. Wuhan 430079, China.
  • Received:2016-11-13 Online:2017-06-20 Published:2017-06-26

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摘要： 目的:探讨对偶三角瓣联合口轮匝肌解剖复位法在单侧面横裂矫正术中的临床应用。方法:回顾性总结2013~2016年运用对偶三角瓣联合口轮匝肌解剖复位法矫正单侧面横裂畸形的12例病例。结果:所有病例获随访6月~3年, 静态和动态时口角外形基本与对侧对称。各项指标术前及术后的比较结果表明术后口角对称性得到了良好的恢复。1例患者术后3年复诊,患侧口角与健侧对称。结论:运用对偶三角瓣联合口轮匝肌解剖复位法矫正单侧面横裂可以恢复面横裂患者口角的形态与功能,术后远期效果良好。

关键词: 对偶三角瓣, 口轮匝肌解剖复位, 单侧面横裂

Abstract: Objective: To investigate the transverse facial cleft repair with symmetric triangular flap and reconstruction of orbicular muscles of mouth. Methods: The clinical data of 12 patients with transverse facial cleft repaired with symmetric triangular flap and reconstruction of orbicular muscles of mouth from 2013 to 2016 were collected and retrospectively analyzed. Results: All patients were followed up regularly ranging from 6 months to 3 years and all of them got the static and dynamic symmetry of oral commissure. The preoperative and postoperative indicators showed that symmetry of commissural had been well restored. One case followed up 3 years, asymmetries of form and functional activity of oral commissure was observed. Conclusion: Application of symmetric triangular flap and reconstruction of orbiculary muscles can enhance the morphology of oral commissure and contribute to functional recovering and obtain the long-term improvement of symptoms.

Key words: Triangular flap, Reconstruction of orbicular muscles of mouth , Transverse facial cleft

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