华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (1): 52-55.doi: 10.7518/hxkq.2018.01.010

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化妆技术用于唇裂术后患者唇畸形修饰的效果探讨

陈丽先(), 王华君, 龚彩霞, 郑谦, 石冰, 张碧荷()   

  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:2017-04-25 修回日期:2017-07-12 出版日期:2018-02-07 发布日期:2018-02-01
  • 作者简介:

    陈丽先,护师,学士,E-mail:chenlixian0@163.com

  • 基金资助:
    [基金项目] 卫生部口腔颌面外科国家临床重点建设专科基金(2011年)

Cosmetic technique application on the modification of lip deformity after cleft lip surgery

Lixian Chen(), Huajun Wang, Caixia Gong, Qian Zheng, Bing Shi, Bihe. Zhang()   

  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:2017-04-25 Revised:2017-07-12 Online:2018-02-07 Published:2018-02-01
  • Supported by:
    Supported by:Ministry of Health’s National Key Construction Fund for Oral and Maxillofacial Surgery (2011)

摘要:

目的 探讨化妆技术用于唇裂术后患者唇畸形修饰的效果。方法 选择35例唇裂术后鼻唇畸形需行唇裂二期修复手术的患者,术前运用化妆技术进行唇部畸形修饰,分别在化妆前和化妆后为患者拍摄正面照片,由患者及医务人员分别观察照片,采用Visual Analogue法(患者)和Asher-McDade、Mortier PB量表(医务人员)对化妆前后的唇部外形进行外观评价,比较化妆前后的改善情况。结果 化妆前,患者的自我评价分数为(56±13)分,医务人员的评价分数为(3.22±1.11)分,化妆后患者评分为(67±12)分,医务人员评分为(2.85±1.03)分,化妆前后的差异均有统计学意义(P<0.05)。结论 合理有效地运用化妆技术,可以在一定程度上修饰唇裂术后患者唇部的相关畸形。化妆修饰在恢复唇峰对称性、唇弓连续性以及凸显人中嵴等方面具有明显的效果。

关键词: 唇裂, 唇畸形, 化妆, 瘢痕, 唇峰对称性, 唇弓连续性

Abstract:

Objective This study aims to explore the effect of cosmetic technique on the modification of lip deformity after cleft lip surgery. Methods A total of 35 patients with postoperative cleft lip and who needed two-stage repair due to the nasolabial deformity were selected. Cosmetic technique was used to modify their lip deformities prior to the surgery. Front photos of the patients were taken before and after modification of their lip deformities. These photos were subsequently assessed by both the patients and the medical staff. The visual analogue method, Asher-McDade aesthetic index, and Mortier PB scale were used by patients and medical staff to evaluate changes in the lip shape by the cosmetic technique. Results Prior to the cosmetic technique application, the mean self-score of the patients and the mean scores of the medical staff were 56±13 and 3.22±1.11 points, respectively. After the cosmetic technique application, the mean self-score of the patients and the mean scores of the medical staff were 67±12 and 2.85±1.03 points, respectively. The differences were statistically significant for both the patients and the medical staff (P<0.05). Conclusion Appropriate use of the cosmetic technique can modify the lip deformity after the cleft lip surgery to a certain degree. The use of this technique exerts evident effects in restoring the symmetry of lip peak and the continuity of the labial arch and in highlighting the philtrum column.

Key words: cleft lip, lip deformity, cosmetic, scar, symmetry of lip peak, continuity of the labial arch

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