目的:评估以连合迁移为重点的线性连合成形术和线性皮肤闭合的长期结果。
方法:回顾性研究。
方法:在2004年至2021年之间在单一机构接受横向面裂修复的个人。
方法:将破裂的口轮匝肌重新定位并缝合。使用了一种简单的线性连缝成形术技术,面颊皮肤线性闭合,无Z形成形术。
方法:从丘比特的弓峰到口腔连合的距离进行双侧测量,得到正常侧和裂隙侧的差异。最后,根据短期和长期随访照片计算其占总唇长百分比的比例值.评估了面颊瘢痕及其对阴唇皱折的影响。
结果:在18例接受横裂修复的患者中,12人被纳入本研究。基于医学照片的平均随访期为1773.5天。平均比例差为4.6%,没有可观察到的委员迁移。在移徙方向上没有一致的趋势,在裂隙或正常侧。在横裂横过阴沟的患者中,裂隙修复手术前后,褶皱出现断裂。
结论:在使用简单的线性连缝成形术和线性皮肤闭合的横向面裂修复后,未观察到明显的长期连合迁移。刻意定位新的口交,适当的肌肉成形术,细致的皮肤闭合和最小的疤痕负担可以被认为是成功的横向裂隙修复的关键程序。
To evaluate the long-term outcomes of linear commissuroplasty and linear skin closure with a focus on commissural migration.
Retrospective study.
Individuals who underwent transverse facial cleft repair at a single institution between 2004 and 2021.
The disrupted orbicularis oris muscle was reoriented and sutured. A simple linear commissuroplasty technique was used, and the cheek skin was closed linearly without Z-plasty.
The distances from Cupid\'s bow peak to the oral commissure were measured bilaterally, and the difference between the normal and cleft sides was obtained. Finally, its proportional value as a percentage of the total lip length was calculated from short- and long-term follow-up photographs. Cheek scarring and its effects on melolabial fold breakage were evaluated.
Of the 18 patients who underwent transverse facial cleft repair, 12 were included in this study. The mean follow-up period based on medical photographs was 1773.5 days. The average proportional difference was 4.6%, demonstrating no observable commissural migration. There were no consistent trends in the direction of migration, either on the cleft or normal side. In patients with a transverse cleft crossing the melolabial fold, the folds appeared broken before and after the cleft repair surgery.
No significant long-term commissural migration was observed after transverse facial cleft repair with simple linear commissuroplasty and linear skin closure. Deliberate positioning of the new oral commissure, proper myoplasty, and meticulous skin closure with minimal scar burden can be considered key procedures for successful transverse cleft repair.