Mesh : Humans Cleft Lip / surgery Facial Muscles / surgery Plastic Surgery Procedures / methods Female Male Treatment Outcome Lip / surgery Follow-Up Studies Child, Preschool Child Infant Retrospective Studies

来  源:   DOI:10.1097/PRS.0000000000010855

Abstract:
BACKGROUND: The long-term postoperative outcomes of two different orbicularis oris muscle reconstruction techniques in patients with unilateral incomplete cleft lip were compared.
METHODS: Forty-seven patients with unilateral incomplete cleft lip were assessed in this study, where 23 underwent a traditional method of reconstruction and 24 underwent a novel method. Preoperative measurements, postoperative results, and 3-year follow-up outcomes were measured by photographic anthropometric analysis. Five upper lip measurement indices and 8 nostril indices were included.
RESULTS: The postoperative outcomes showed that the shape of the lip and nose was more symmetric with the new surgical method compared with the conventional technique. Long-term outcomes after 3 years, although characterized by minimal changes during maxillofacial development, showed better maintenance of lip and nostril symmetry in the novel-method group.
CONCLUSIONS: The novel technique seeks to balance the perinasal and perioral muscles, resulting in improved symmetry compared with the traditional reconstruction technique.
METHODS: Therapeutic, III.
摘要:
背景:比较了单侧不完全性唇裂患者两种不同口轮匝肌重建技术的长期术后结果。
方法:本研究评估了47例单侧不完全性唇裂患者,其中23人接受了传统的重建方法,24人接受了新的方法。术前测量,术后结果,和3年随访结局通过摄影人体测量分析进行测量.包括5个上唇测量指标和8个鼻孔指标。
结果:术后结果显示,与传统技术相比,新的手术方法使嘴唇和鼻子的形状更对称。3年后的长期结果,尽管在颌面部发育过程中变化很小,在新方法组中,嘴唇和鼻孔的对称性得到了更好的保持。
结论:这项新技术旨在平衡鼻周和口周肌肉,与传统的重建技术相比,对称性得到了改善。
方法:治疗,III.
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