[1]吴 江,魏 娟,欧阳山蓓.多个口轮匝肌黏膜瓣修复口角瘢痕挛缩畸形疗效探讨[J].中国美容医学,2023,(1):32-34.
　WU Jiang,WEI Juan,OUYANG Shanbei.Clinical Study of Multiple Orbicularis Oris Muscle Mucosal Flaps in the Treatment of Scar Contracture Deformity in the Corner of the Mouth[J].Medical Aesthetics and Beauty,2023,(1):32-34.
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多个口轮匝肌黏膜瓣修复口角瘢痕挛缩畸形疗效探讨()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年1期
页码:
32-34
栏目:
出版日期:
2023-01-15

文章信息/Info

Title:
Clinical Study of Multiple Orbicularis Oris Muscle Mucosal Flaps in the Treatment of Scar Contracture Deformity in the Corner of the Mouth
文章编号:
1008-6455（2023）01-0032-03
作者:
吴 江1; 魏 娟2; 欧阳山蓓1
(1.武汉市第三医院整形外科 湖北 武汉 430060;2.武汉大学人民医院骨二科 湖北 武汉 430060)
Author(s):
WU Jiang1; WEI Juan2; OUYANG Shanbei1
(1.Department of Plastic Surgery,Wuhan Third Hospital,Wuhan 430060,Hubei,China; 2.The Second Department of Orthopaedics,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China)
关键词:
瘢痕; 挛缩畸形; 口角; 口轮匝肌黏膜瓣; 无张力缝合
Keywords:
scar;  contracture deformity;  mouth corner;  orbicularis oris muscle mucosal fl aps;  tension free suture
分类号:
R619+.6
文献标志码:
A
摘要:
目的：探讨应用多个口轮匝肌黏膜瓣修复口角瘢痕挛缩畸形的临床效果。方法：2017年6月-2019年12月，对笔者医院 收治的12例烧伤后口角瘢痕挛缩畸形患者，24个口角，采用多个口轮匝肌黏膜瓣修复，一侧口角制备3个口轮匝肌黏膜复合组织瓣，以此特别充分松解口角黏膜面的环形挛缩带，无张力缝合覆盖新口角处。拆线后叮嘱患者坚持佩戴开口器。采用门齿间距测量数据来客观比较术前术后张口程度。结果：12例患者术后即刻效果满意。随访12～30个月，患者均效果满意，无再次挛缩复发。术后门齿间距明显大于术前，差异有统计学意义（P＜0.01）。结论：多个口轮匝肌黏膜瓣治疗口角瘢痕挛缩畸形的临床疗效确切，尤其适合重度口角挛缩，手术方法简单易行。
Abstract:
Objective To implore the clinical eff ect of multiple orbicularis oris muscle mucosal fl aps in the treatment of scar contracture deformity in the corner of the mouth. Methods From June 2017 to December 2019, 12 patients(24 mouth corners) with scar contracture deformity in the corner of the mouth after burn were treated in our hospital. Multiple orbicularis oris muscle mucosal fl aps were used for surgical treatment. Three orbicularis oris muscle mucosal fl aps were prepared on one side of the corner of the mouth so as to fully release the circular contracture zone especially on the mucosal surface of the corner of the mouth. Then cover the new corner of mouth with no tension sutures. After removing the suture, the patients were instructedto wear the mouth opener. The data of incisors distance measurement were used to compare the degree of mouth opening before and after operation. Results The 12 patients were satisfi ed with the immediate shape. The follow-up period was 12-30 months. The patients were also still satisfi ed with the results. There was no recurrence of contracture. The distance between the incisors after operation was signifi cantly larger than that before operation, the diff erence was statistically signifi cant(P＜0.01). Conclusion Multiple orbicularis oris muscle mucosal fl aps are eff ective in the treatment of scar contracture deformity in the corner of the mouth, especially suitable for severe contracture, and this surgical method is simple and easy to perform

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更新日期/Last Update: 2023-01-28