国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (1): 3-9.doi: 10.7518/gjkq.2023001

• 专家笔谈 • 上一篇    下一篇

单侧微小型唇裂手术方案与规范化建议

李精韬(),石冰()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院唇腭裂外科 成都 610041
  • 收稿日期:2022-02-05 修回日期:2022-06-02 出版日期:2023-01-01 发布日期:2023-01-09
  • 通讯作者: 石冰
  • 作者简介:<named-content content-type="corresp-name">李精韬</named-content>，口腔医学博士，四川大学华西口腔医院口腔颌面外科副教授，硕士研究生导师，美国斯坦福大学整形外科学博士后，美国加州大学洛杉矶分校牙学院访问学者，中华口腔医学会唇腭裂专业委员会委员，四川省口腔医学会口腔颌面外科专业委员会委员，《口腔颌面外科杂志》编委，四川大学优秀青年学者。2017年获得华夏医学科技进步奖；主持国家自然科学基金1项，四川省科技支撑计划1项，以第一主研参与国家重点研发项目1项；发表SCI论文40余篇，其中第一作者及通信作者31篇；《唇腭裂手术治疗学》副主编，参编Comprehensive Cleft Care (2nd ed)和Plastic Surgery等国际权威论著。|<named-content content-type="corresp-name">石冰</named-content>，四川大学二级教授，四川省及华西口腔医院首席专家，博士研究生导师，四川省科学与技术带头人，四川省口腔医学专业委员会主任委员，中华口腔医学会口腔颌面外科专业委员会前任及唇腭裂专业委员会前任主任委员；美国微笑列车唇腭裂专家委员会委员；卫生部规划教材《口腔颌面外科学》副主编，研究生教材《唇腭裂与面裂》主编，《国际口腔医学杂志》主编；新世纪百千万人才工程国家级人选，国务院政府津贴获得者；国际牙医师学院院士，国家卫计委有突出贡献的中青年专家。获国家自然科学基金资助项目8次，其中重点项目1项；主编和主译出版了《唇腭裂修复外科学》《唇腭裂手术图谱》《唇腭裂综合治疗学》和Primary Cleft Lip and Palate Repair等著作；发表论文200余篇，其中SCI收录论文100篇。获得中华医学奖三等奖，并2次获得四川省科技进步奖。主要研究方向包括先天性唇腭裂发病机制、生长发育变化规律和临床治疗新技术、新方法的研究；创建的新旋转推进法、唇弓重建双侧唇裂整复术和腭裂Sommerlad-Furlow（SF）整复术等新理论和新技术已广泛应用于临床。
  • 基金资助:
    四川大学华西口腔医院交叉学科创新项目(RD-03-202007)

Standardizing the surgical planning for unilateral microform cleft lip repair

Li Jingtao(),Shi Bing.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cleft Lip and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-02-05 Revised:2022-06-02 Online:2023-01-01 Published:2023-01-09
  • Contact: Bing. Shi
  • Supported by:
    Interdisciplinary Innovation Fund of West China Hospital of Stomatology, Sichuan University(RD-03-202007)

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摘要：

单侧微小型唇裂尽管畸形程度较轻，但仍有可能涉及鼻唇皮肤、肌肉、黏膜及软骨等多组织类型异常。目前，微小型唇裂整复尚无标准化治疗方案，针对同一畸形特征的手术技术选择较多，术者在手术设计时常常存在较大的随意性和自由度。临床个体化治疗绝不等同于随意的手术技术组合，必须发展出规范化的设计思路。达到这一目标的前提是全面理解不同手术操作的技术特点。本文在全面梳理单侧微小型唇裂整复手术入路、肌肉重建、鼻畸形整复等关键操作的技术选择基础上，针对规范化制定个体化治疗方案提出建议。

关键词: 微小型唇裂, 个体化治疗, 手术设计, 标准化

Abstract:

Unilateral microform cleft lip involves mild but extensive abnormalities among cutaneous, muscular, and cartilaginous tissues in the nasolabial region. To date, no standardized protocol is available for microform cleft lip ma-nagement. Diversified surgical techniques can be adopted for each single deformity feature, and randomness is common during surgeons’ decision-making. Individualized management features a random combination of surgical techniques but requires a precise workflow. Basing on a comprehensive review of options for critical surgical maneuvers, we propose re-commendations for the establishment of standardized management philosophy for unilateral microform cleft lip.

Key words: microform cleft lip, individualized management, surgical planning, standardization

中图分类号: 

  • R 782.2+1

图 1

单侧微小型唇裂常规类切口设计示例（华西新旋转推进法，紫色虚线示切口线）"

图 2

部分唇鼻非常规类切口设计示例左：唇弓缘切口；右：鼻部切口。"

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