Unilateral Microform Cleft Lip Repair: Application of Muscle Tension Line Group Theory
Unilateral Microform Cleft Lip Repair: Application of Muscle Tension Line Group Theory
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单侧微缩唇裂修复：肌张力线群理论的应用
DOI：
10.1097/scs.0000000000001460
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Di Wu
中科院分区：
文献类型：
--
作者：
N. Yin;T. Song;Jiajun Wu;Bo Chen;Hengyuan Ma;Zhenmin Zhao;Yongqian Wang;Haidong Li;Di Wu
背景在显微唇裂修复中，复杂结构的重建是一个难点。本文介绍了一种基于肌肉张力线群理论的单侧显微唇裂修复新技术。方法根据丘比特弓的形状，在不留下明显疤痕的情况下，采用不同的小切口。首先重建鼻底周围的鼻唇肌（第一辅助张力线群），然后根据肌肉张力线群理论重建中部周围的口轮匝肌（第二辅助张力线群）。结果自2006年6月至2012年6月，应用该技术修复单侧显微型唇裂263例。212例患者随访18个月。鼻翼、鼻梁、中鼻、丘比特弓峰的外观均有改善。大多数病人的外表令人满意。结论根据肌张力线群理论，采用该技术可以有效地内收鼻翼，形成良好的鼻梁和鼻中。
BackgroundIn microform cleft lip repair, reconstructing the elaborate structures is difficult. We describe a new technique of unilateral microform cleft lip repair that is based on the muscle tension line group theory. MethodsAccording to the shape of Cupid bow, a different small incision is used without creating an obvious cutaneous scar. First, the nasolabial muscle around the nasal floor (the first auxiliary tension line group) is reconstructed, and then the orbicularis oris muscle around the philtrum (the second auxiliary tension line group) is reconstructed based on the muscle tension line group theory. ResultsFrom June 2006 to June 2012, the technique was used in 263 unilateral microform cleft lip repairs. For 18 months, 212 patients were followed up. The appearance of the nasal alar, nasal sill, philtrum, and Cupid bow peak improved. Most patients had a satisfactory appearance. ConclusionsBased on the muscle tension line group theory, using this technique offers the ability to adduct the nasal alar effectively to form a good nasal sill and philtrum.