Lip Height Improvement during the First Year of Unilateral Complete Cleft Lip Repair Using Cutting Extended Mohler Technique.

Plastic Surgery International Pub Date : 2012-01-01 Epub Date: 2012-12-20 DOI:10.1155/2012/206481

Cassio Eduardo Raposo-Amaral, André Pecci Giancolli, Rafael Denadai, Frederico Figueiredo Marques, Renato Salazar Somensi, Cesar Augusto Raposo-Amaral, Nivaldo Alonso

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引用次数: 15

Abstract

Objective. To compare the cutaneous lip height at early and late postoperative periods and to objectively determine the average amount of lip height improvement during the first year of unilateral complete cleft lip repair using Cutting extended Mohler technique. Methods. In this prospective cohort study, 26 unilateral complete cleft patients and 50 noncleft subjects were included. Photographs were taken between 12 and 16 weeks (T1) and also taken between 12 and 13 months after surgery (T2). The cutaneous lip height distance (photogrammetric lip analysis) obtained in these two periods of time were measured and statistically analyzed. Results. The average lip heights were 24% ± 9% in T1 and 8% ± 6% in T2 (P < 0.01). The average lip height asymmetry in the noncleft individuals was 4.52% ± 1.89%. Conclusion. Since all principles to obtain a symmetrical Cupid's bow were performed, the postoperative pull-up of Cupid's bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.

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单侧完全性唇裂手术第一年唇高的改善。

目标。目的比较单侧完全性唇裂术后早期和后期的皮肤唇高度，客观确定采用Cutting - extended Mohler技术修复单侧完全性唇裂术后第一年的平均唇高度改善量。方法。在这项前瞻性队列研究中，包括26名单侧完全性唇裂患者和50名非唇裂受试者。照片在手术后12 - 16周(T1)和12 - 13个月(T2)拍摄。测量这两个时间段皮肤唇高距离(摄影测量唇高分析)并进行统计分析。结果。平均唇高T1为24%±9%，T2为8%±6% (P < 0.01)。非唇裂个体的平均唇高不对称性为4.52%±1.89%。结论。由于所有获得对称丘比特弓的原则都被执行，术后丘比特弓的上拉可能是由于疤痕挛缩，在手术后的第一年，瘢痕挛缩改善了2倍。

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Plastic Surgery International

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