[摘要]目的:探讨应用双侧红唇瓣推进修复单侧唇裂术后继发红唇畸形的临床效果。方法:切除红唇瘢痕畸形后,沿缺损两侧红白唇交界线切开并游离两侧正常红唇粘膜肌瓣,长度一般为1～2cm,向缺损区推进修复缺损。结果:术后患者唇弓形态完整良好,红唇丰满,手术瘢痕不明显。结论:在适应证选择适当的情况下,应用双侧红唇瓣推进修复单侧唇裂术后继发红唇畸形,方法简便,效果良好。

    [关键词]唇裂;外科皮瓣;红唇;手术后并发症

    [中图分类号]R782.2+1 [文献标识码]A [文章编号]1008-6455(2010)01-0049-03

    Bilateral vermilion flap propelling for repair secondary vermilion deformity of unilateral cleft lip

    ZHOU Jian-hong,HE Feng-lan,REN Chang-qun

    (Department of Maxillofacial Surgery,180th Hospital of PLA,Quanzhou 362000,Fujian,China)

    Abstract:ObjectiveTo evaluate the clinical effect of bilateral vermilion flap propelling for repair secondary vermilion deformity of unilateral cleft lip.Methods After excision of the scar of vermilion,bilateral mucosa-muscle flaps of normal vermilion in length of 1～2mm beside the defect were cut along the vemilion boundary and then were propelled to repair the defective region.ResultsThe postoperative appearance of the cubit's bow was integrity and fine. The shape of the prolabium was fullnessly and the scar was minimal. ConclusionIf the indication was appropriate,the method of Bilateral vermilion flap propelling for repair secondary vermilion deformity of unilateral cleft lip is simple and can obertain fine result. ......