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目的探讨双侧唇裂继发畸形的解剖学修复。方法采用埋没导引缝合针缝合法,对于引起畸形的主要因素:鼻翼软骨向两侧移位,鼻降肌挛缩,口轮匝肌移位,鼻孔底瘢痕挛缩等进行彻底松解后,牢固准确地复位、固定,以恢复其正常的解剖关系。结果自2001年以来,共收治36例双侧唇裂继发畸形患者,除1例叉状皮瓣远端坏死外,余均顺利成功。随访1～2年效果满意。结论本手术不仅简单省时,而且能达到畸形的解剖学修复。
Objective To investigate the anatomic repair of secondary deformity of bilateral cleft lip. Methods Buried guide suture needle suture method, the main factors causing malformations: nasal cartilage displacement to both sides, nasal drop muscle contracture, orbicularis muscle displacement, nostril scar contracture thoroughly loosen, solid and accurate To reset, fixed, to restore its normal anatomy. Results Since 2001, a total of 36 patients with secondary deformities of bilateral cleft lip have been successfully treated, except for 1 case of distal necrosis of the fork-shaped flap. Follow-up of 1 to 2 years satisfactory results. Conclusion The operation is not only simple and time-saving, but also to achieve the anatomical repair of deformity.