Tailored Microform Cleft Lip Repair: Personalizing Small Incisions, Orbicularis Reconstruction, and Rhinoplasty.
Tailored Microform Cleft Lip Repair: Personalizing Small Incisions, Orbicularis Reconstruction, and Rhinoplasty.
复制标题
定制微缩唇裂修复：个性化小切口、眼轮匝肌重建和鼻整形术。
DOI：
10.1097/scs.0000000000005345
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Maoguo Shu
中科院分区：
文献类型：
--
作者：
Lin He;Xueyuan Yu;Xiangyu Liu;Wendy Chen;Maoguo Shu
背景
在过去的十年中，许多外科医生报道了他们对微型唇裂修复的观点，包括切口位置和大小，中鼻重建和鼻底重建的技术。这种兴趣表明，在微小型唇裂修复的持续争议。
方法
这是一个2010年至2016年患者的回顾性队列。作者纳入了通过我们描述的技术修复的微小型唇裂患者，他们有术前照片，以及>1年随访时拍摄的照片。通过人体测量和3名整形外科的高级住院医师主观评估患者结局。
结果
纳入标准产生36例微小型唇裂患者。大多数患者对结果感到满意。关于主观评估，疤痕外观和对称性相当好。客观测量结果表明，良好的对称性，与裂侧达到92.58%的高度和非裂侧的测量。
结论
我们的方法结合唇肌重建通过个性化，小切口有效地纠正微小型唇裂畸形，最小的疤痕负担。
BACKGROUND
In the last decade, many surgeons have reported their perspectives on microform cleft lip repair, including techniques for incision placement and size, philtral reconstruction, and nasal base reconstruction. This interest demonstrates continued controversy in the repair of microform cleft lip.
METHODS
This is a retrospective cohort of patients from 2010 to 2016. The authors included patients with microform cleft lip repaired by our described technique who had both preoperative photographs, as well as photographs taken at >1-year follow-up. Patient outcomes were assessed through anthropometric measurements and also subjectively by 3 senior residents of plastic surgery.
RESULTS
The inclusion criteria yielded 36 microform cleft lip patients. Most patients were satisfied with their results. Regarding subjective assessment, the scar appearance and symmetry was fairly good. Objective measurements indicated excellent symmetry, with the cleft side achieving 92.58% of the height and measurements of the non-cleft side.
CONCLUSIONS
Our method of combining labial muscle reconstruction through a personalized, small incision effectively corrects microform cleft lip deformity with minimal scar burden.