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先天性双侧上唇裂较单侧少见,但在唇腭裂畸形中的发生率约为15%左右。该病在临床上表现出畸形的复杂性,使人们对某些问题的看法不一,故手术方法也较多。我科从1957年—1980年底共收治双侧唇裂137例,其中1970年以前主要采用了Barsky's法。这种方法近期效果尚可,但远期疗效,经复查的部分病例都有上唇过紧过长、小口及反颌畸形等病症。1970年以后,我们在收治的91例患者中注意了双侧唇裂引起的局部组织移位或短缺,肌纤维细疏与走向改变以及颌骨同唇、鼻畸形相互关系所致的发育障碍等现象后,设计并采用了双侧唇红部肌粘膜瓣转移修补法。
Congenital bilateral upper lip cleft than unilateral rare, but the cleft lip and palate deformity in the incidence of about 15%. The disease in clinical manifestations of the complexity of the deformity, so that people have different views on certain issues, so there are more surgical methods. Our department from 1957 to the end of 1980 treated a total of 137 cases of bilateral cleft lip, in which before 1970 the main use of Barsky's method. The short-term effect of this method is acceptable, but the long-term efficacy, after reviewing some cases have upper lip too tight too long, small mouth and anti-jaw deformities and other diseases. After 1970, we observed 91 cases of patients with bilateral cleft lip caused by local tissue displacement or shortage, thinning and changes in muscle fibers and jaw and nasal deformity caused by the relationship between developmental disorders and other phenomena , Designed and adopted the bilateral lip red muscularis mucosal flap transfer repair method.