A new method for creating a definite philtrum by the flipping of an orbicularis oris muscle flap in a patient with an indistinct philtrum.
A new method for creating a definite philtrum by the flipping of an orbicularis oris muscle flap in a patient with an indistinct philtrum.
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DOI：
10.5999/aps.2013.40.1.62
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发表时间：
2013-01
期刊：
影响因子：
--
通讯作者：
Han YS
中科院分区：
文献类型：
--
作者：
Choi HN;Kim SR;Han YS
人中对于上唇和鼻孔的外观起着关键作用。因此，人中的构造对于获得上唇的自然外观至关重要。我们对人中平坦的患者进行了口轮匝肌翻转肌成形术，以有效地重建人中凹窝和柱。一位 35 岁的女性因上唇扁平而到我们部门就诊。将上唇正中面的口轮匝肌表层垂直切开并抬高至2mm厚度。然后将抬高的肌瓣的两侧折叠到侧面，以便将边界缝合到口轮匝肌的外部部分上。术后观察患者一年。人中加深了1.25毫米，丘比特弓中心角从术前的146°改善到术后的128°。对于人中不明确的患者，进行翻转口轮匝肌成形术以获得明确的人中柱和人中凹窝。保持自然的上唇运动，并实现了美观和功能上令人满意的重建。
The philtrum plays a key role in the appearance of the upper lip and nostril sill. Therefore, construction of the philtrum is crucial for attaining a natural appearance of the upper lip. We used a flipping myoplasty of the orbicularis oris muscle on a patient with a flat philtrum in order to effectively reconstruct the philtral dimple and column. A 35-year-old female presented to our department with the complaint of a flat upper lip. A superficial layer of the orbicularis oris muscle on the median aspect of the upper lip was vertically incised and elevated to a thickness of 2 mm. Both sides of the elevated muscle flap were then folded to the lateral sides so that the border could be sutured onto the outer portion of the orbicularis oris muscle. The patient was observed for one year postoperatively. Her philtrum deepened by 1.25 mm, with the central angle of her Cupid's bow improving from a preoperative measurement of 146° to 128° postoperatively. In a patient with an indistinct philtrum, a flipping orbicularis oris myoplasty was performed to attain a definite philtral column and a philtral dimple. Natural upper lip movement was maintained, and an aesthetically and functionally satisfactory reconstruction was achieved.