华西口腔医学杂志2011，Vol.29Issue(4)：400-403,408,5.DOI:10.3969/j.issn.1000-1182.2011.04.017
改良Onizuka法修复单侧唇裂
A modified Onizuka cheiloplasty for repairing the unilateral cleft lip
张斌 1王超 1刘强 1李增健 1徐贤一2
作者信息
- 1. 中国医科大学口腔医院,口腔颌面外科及整形外科,沈阳,110002
- 2. 平壤医科大学口腔系,口腔外科,朝鲜,平壤
- 折叠
摘要
Abstract
Objeetive To explore the surgical technique of a modified Onizuka cheiloplasty for repairing the unilateral cleft lip. Methods 24 patients with unilateral cleft lip were repaired by modified Onizuka cheiloplasty. The rotation flap ended at the midpoint of nasal columella crease. A small triangle skin flap was formed above the vermilion border of the advancement flap. The small triangle flap was mscrted to the medial side after the Cupid's bow was built. The skin of the flap C was denuded along the nasal columella crease and the muscle was sutured to the alar base for augmentation of nostril floor on the cleft side. The tip of the advancement flap was sutured at the midpoint of nasal columella crease and the skin of nasal floor was trimmed to hide the incision line around the nasal columella base. Results It was found that the Cupid's bow was rebuilt in a natural form and the configuration of the upper lip was reconstructed symmetrically. The long term follow up studies showed that the philtrum column was not disturbed by the small triangle flap and the nasal floor was rebuilt without obvious scars. Conclusion The modified Onizuka cheiloplasty is an easy learning technique and efficient for repairing the unilateral cleft lip. This technique can satisfy the patients by reducing the length of scar as well as rebuilding a natural form of upper lip and nostril floor.关键词
唇裂/改良Onizuka法/小三角瓣Key words
cleft lip/ modified Onizuka cheiloplasty/ small triangle flap分类
医药卫生引用本文复制引用
张斌,王超,刘强,李增健,徐贤一..改良Onizuka法修复单侧唇裂[J].华西口腔医学杂志,2011,29(4):400-403,408,5.
