A scar flap is formed with the pedicle at the lateral part of the columella base at the cleft side, that is, in the center of the affected region. It enables flap placement according to individual need. A prospective evaluation was performed in a group of 76 patients with cleft lip and palate, all operated on by the same plastic surgeon. The flap was used to improve the height of the columella and the extent of nasal mucosa on the frontal septum and on the nostril base in the vestibule. In the lip, the flap raised its height and improved proportionality. The average area of flap used in a unilateral deformity was 42 mm. Both flaps in a bilateral deformity were 77 mm. The average follow-up was 22.4 months. Neither local nor general complications were noted apart from a recurrence of the deformity of the nasal septum in 7.9% of patients. The nasal passage was improved in 59.9% of patients and normalized in 19.6% upon follow-up rhinomanometry, but nevertheless, only one third of patients overcame their dynamic stereotype of breathing by the mouth. Anthropometric measurements showed an absence of statistically significant differences between patients after surgery and healthy individuals in crucial parameters (nasal tip projection, length of columella, nasolabial angle, nasal angle, and lip angle). The loss of the stigmatizing deformity is based on rotation of the nasolabial angle in relation to the aesthetic axis of the face. Direct examination proved aesthetic and functional improvement as statistically significant in 92.1% of patients.

译文

疤痕皮瓣在裂隙侧的小柱基部的外侧部分 (即在受影响区域的中心) 形成。它可以根据个人需要放置襟翼。对76例唇腭裂患者进行了前瞻性评估,所有患者均由同一位整形外科医生进行手术。皮瓣用于改善前庭额隔和鼻孔基部的小柱高度和鼻粘膜的程度。在嘴唇上,皮瓣提高了高度并提高了比例。用于单侧畸形的皮瓣的平均面积为42毫米。双侧畸形的两个皮瓣均77毫米。平均随访22.4个月。除了7.9% 患者的鼻中隔畸形复发外,均未发现局部或一般并发症。59.9% 患者的鼻腔通道得到改善,并在随访的鼻腔测量后在19.6% 中恢复正常,但是,只有3分之1的患者克服了通过口腔呼吸的动态刻板印象。人体测量显示,手术后患者与健康个体之间在关键参数 (鼻尖投影,小柱长度,鼻唇角,鼻角和唇角) 上没有统计学上的显着差异。污名化畸形的丧失是基于鼻唇角相对于面部美学轴的旋转。直接检查证明在患者92.1% 中具有统计学意义的美学和功能改善。

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