化妆技术用于唇裂术后患者唇畸形修饰的效果探讨
Cosmetic technique application on the modification of lip deformity after cleft lip surgery
作者：陈丽先, 王华君, 龚彩霞, 郑谦, 石冰, 张碧荷
Author：Lixian Chen, Huajun Wang, Caixia Gong, Qian Zheng, Bing Shi, Bihe. Zhang
收稿日期：2017-04-25 年卷（期）页码：2018,36(1):52-52-55
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：唇裂,唇畸形,化妆,瘢痕,唇峰对称性,唇弓连续性,
Key words：cleft lip,lip deformity,cosmetic,scar,symmetry of lip peak,continuity of the labial arch,
基金项目：[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）
中文摘要
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。
英文摘要
ObjectiveThis study aims to explore the effect of cosmetic technique on the modification of lip deformity after cleft lip surgery.MethodsA 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.ResultsPrior 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).ConclusionAppropriate 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.
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