Vermilion Square Flap for Correction of Bilateral Macrostomia-A Case Report

以下唇方形皮瓣轉位來矯正雙側橫向臉裂－案例報告

張惠琇(Hui-Hsiu Chang) ； 湯月碧(Yueh-Bih Tang) ； 許文明(Wen-Ming Hsu) ； 陳明庭(Ming-Ting Chen) ； 謝孟祥(Mon-Hsian Hsieh)

《中華民國整形外科醫學會雜誌》 17卷4期 (2008/12) Pp. 399-404

https://doi.org/10.7096/JPSA.200812.0399

摘要

橫向臉裂是很罕見的先天異常，雙側橫向臉裂尤其少見。有許多人提出各種不同的方式來矯正橫向臉裂的問題，大都數的人將疤痕置放於嘴角或下唇，導致最後的結果不是非常完美。再者，雙側橫向臉裂的矯正無正常邊可以幫助定位，在手術設計上是一大挑戰。本文應用下唇方形皮辦轉位的手術方式，將疤痕置放於上唇，來矯正一個雙側橫向臉裂的小朋友。術後不僅左右對稱，有正常吸吮功能，且外觀正常，疤痕亦不明顯。

並列摘要

Congenital bilateral macrostomia, a transverse facial cleft, is a rare deformity of the mouth; when it occurs, it is usually unilateral. Many procedures have been developed for correction of macrostomia and most of them use the noncleft side to mark the reconstructed commissural position. In cases of bilateral forms, the surgeon must define the commissural position without a normal side as a reference. Most of the reported procedures place the scars at the mouth angle or at the lower lip, which result in an unnatural appearance. We report a successful correction for a 4-month-old baby girl with bilateral macrostomia using vermilion square flap technique. The scar is placed at the upper lip. At one month follow-up, the oral commissures are symmetric, the scars are inconspicuous, and the overall balance of facial contour and lip is excellent.

並列關鍵字

macrostomia ； transverse facial cleft ； vermilion square flap