口腔黏膜瓣用于非综合征型单侧完全性唇裂鼻底修复的效果评价

doi:10.19438/j.cjoms.2018.05.008

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (5): 425-430.doi: 10.19438/j.cjoms.2018.05.008

口腔黏膜瓣用于非综合征型单侧完全性唇裂鼻底修复的效果评价

李一颖¹, 杨学财², 候志军², 胡宁宁², 王俊伟¹, 初晓艺², 辛俊彤²

1.青岛大学口腔医学院,山东青岛 266003;
2.青岛大学附属妇女儿童医院口腔颌面外科,唇腭裂治疗中心,山东青岛 266034

收稿日期:2018-04-20 出版日期:2018-09-20 发布日期:2018-11-06
通讯作者: 杨学财,E-ail：dryang2002@163.com
作者简介:李一颖（1992-）,女,硕士,E-mail：549694573@qq.com
基金资助:
山东省医药卫生科技发展计划项目（2017WS632）

Clinical analysis of nasal floor reconstruction by oral mucosal flap in 16 patients with non-syndromic unilateral complete cleft lip

LI Yi-ying¹, YANG Xue-cai², HOU Zhi-jun², HU Ning-ning¹, WANG Jun-wei¹, CHU Xiao-yi², XIN Jun-tong²

1.School of Stomatology, Qingdao University. Qingdao 266003;
2.Department of Oral and Maxillofacial Surgery, Cleft Lip and Palate Treatment Center, Women and Children's Hospital of Qingdao University. Qingdao 266034, Shandong Province, China

Received:2018-04-20 Online:2018-09-20 Published:2018-11-06

摘要/Abstract

摘要： 目的: 探讨非综合征型单侧完全性唇裂患儿一期手术中采用口腔黏膜瓣进行鼻底修复的效果,并对鼻底、鼻翼外形对称性等指标进行评价。方法: 对2014年9月—2016年9月采用口腔黏膜瓣进行鼻底修复的16例非综合征型单侧完全性唇裂患儿的临床资料进行回顾分析,根据患儿术前、术后1周、术后1年恢复情况,拍摄正面、仰视照片,测量健、患侧鼻底宽度,鼻小柱高度,鼻孔高度及宽度,鼻的长度及宽度。采用SPSS19.0软件包对数据进行统计学分析。结果: 16例患儿术后均未出现口腔-鼻腔瘘及鼻底凹陷,鼻翼塌陷得到明显改善,术后1年鼻底宽度对称比0.79±0.15,鼻孔宽度对称比0.856±0.17,鼻孔高度对称比1.44±0.17,鼻小柱高度对称比1.62±0.48。结论: 非综合征型单侧完全性唇裂患儿一期修复手术中采用口腔黏膜瓣,进行鼻底修复,不仅能减少口腔-鼻腔瘘的发生,还能严密封闭鼻底裂隙,恢复鼻底形态,并保持良好的鼻翼外形及鼻孔对称性。

关键词: 单侧完全性唇裂, 鼻底修复, 口腔黏膜瓣, 唇裂一期修复

Abstract: PURPOSE: To explore the effect of applying oral mucosal flap to repair nasal floor of patients with non-syndromic unilateral complete cleft lip in one-stage operation. METHODS: Sixteen patients with unilateral complete cleft lip treated at School of Stomatology, Medical College of Qingdao University from September 2014 to September 2016 were retrospectively analyzed. Their nasal floor was repaired with oral mucosal flap. Photographs were taken before repair, 1 week and 1 year after surgery. The symmetry ratio of nasal floor and alar shape were calculated to analyze the clinical effect. SPSS 19.0 software package was used for statistical analysis. RESULTS: There was no oral-nasal fistulas(ONFs) and nasal floor notches in 16 cases. The nasal wing collapse was improved obviously. One year after operation, the symmetrical ratio of nasal floor width was 0.79±0.15, and the ratio of nostril width symmetry was 0.856±0.17, nostril height symmetry was 1.44±0.17, symmetrical ratio of nasal column was 1.62±0.48. There was significant difference before and after operation. CONCLUSIONS: Nasal floor repair in children with non-syndromic unilateral complete cleft lip with oral mucosal flap in one-stage operation can not only be beneficial to reduce the incidence of oral and nasal fistulas, but also help to close the fissure of nasal floor, restore the shape of nasal floor and properly correct nasal deformity.

Key words: Unilateral complete cleft lip, Nasal floor repair, Oral mucosal flap, One-stage operation

中图分类号:

R782.2.1

李一颖, 杨学财, 候志军, 胡宁宁, 王俊伟, 初晓艺, 辛俊彤. 口腔黏膜瓣用于非综合征型单侧完全性唇裂鼻底修复的效果评价[J]. 中国口腔颌面外科杂志, 2018, 16(5): 425-430.

LI Yi-ying, YANG Xue-cai, HOU Zhi-jun, HU Ning-ning, WANG Jun-wei, CHU Xiao-yi, XIN Jun-tong. Clinical analysis of nasal floor reconstruction by oral mucosal flap in 16 patients with non-syndromic unilateral complete cleft lip[J]. China J Oral Maxillofac Surg, 2018, 16(5): 425-430.

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口腔黏膜瓣用于非综合征型单侧完全性唇裂鼻底修复的效果评价

Clinical analysis of nasal floor reconstruction by oral mucosal flap in 16 patients with non-syndromic unilateral complete cleft lip

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