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J Zhejiang Univ (Med Sci)  2019, Vol. 48 Issue (5): 499-503    DOI: 10.3785/j.issn.1008-9292.2019.10.06
    
Application of modified vermillion flap and orbicularoris oris bundle anastomosis in repair of transverse facial cleft
ZHAO Xiong*(),DAI Yefeng,YUE Xiaojie
The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310052, China
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Abstract  

Objective: To improve the method of vermillion flap and orbicularis oris bundle anastomosis in repair of transverse facial cleft. Methods: Based on the precise fixed point, the modified vermillion flap was designed slender at the new corner of the upper lip, and was inserted into the lower lip after removing part tissue. The orbicularis oris was divided into two bands and cross-stitched. Results: Fifteen patients with unilateral transverse facial cleft form the Children's Hospital of Zhejiang University during September 2016 and December 2018 were operated, and the position and shape of the commissure were almost normal. Conclusion: The cosmetic effect and oral function are satisfactory when the modified vermillion flap and bundle anastomosis of orbicularis oris is used to repair transverse facial cleft.



Key wordsMacrostomia/surgery      Lip/surgery      Reconstructive surgical procedures/methods      Surgical flaps     
Received: 30 July 2019      Published: 04 January 2020
CLC:  R726.2  
Corresponding Authors: ZHAO Xiong     E-mail: 6196001@zju.edu.cn
Cite this article:

ZHAO Xiong,DAI Yefeng,YUE Xiaojie. Application of modified vermillion flap and orbicularoris oris bundle anastomosis in repair of transverse facial cleft. J Zhejiang Univ (Med Sci), 2019, 48(5): 499-503.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2019.10.06     OR     http://www.zjujournals.com/med/Y2019/V48/I5/499


改良唇红瓣及口轮匝肌分束吻合在面横裂修复中的应用

目的: 改进面横裂手术方法,使口角区肌层分布匀称,术后外形更自然。方法: 采用改进的方法对浙江大学医学院附属儿童医院2016年9月至2018年12月收治的15例面横裂患儿进行手术。在精确定点的基础上,在患侧上唇新口角点处设计唇红黏膜瓣,形态细长,下唇去除部分组织后将上唇瓣插入下唇,同时将上下断裂的轮匝肌分成两束并交叉缝合,“Z”成形法缝合患侧颊部皮肤。结果: 15例单侧面横裂患儿术后口角位置、形态接近正常,张口后双侧面部对称,患侧皮肤无明显瘢痕。结论: 通过改良唇红瓣及轮匝肌分束吻合的方法来修复面横裂,术后口角形态美观,双侧面部对称,张口功能良好。


关键词: 巨口/外科学,  唇外科学,  修复外科手术/方法,  外科皮瓣 
Fig 1 Schematic diagram of surgical procedure
Fig 2 Preoperative and postoperative follow-up photos of typical cases
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