反转切口在单侧唇裂整复术中的应用

Application of back cut in the repair of unilateral cleft lip

目的探讨改良Millard术式对单侧唇裂修复的效果。方法对64例单侧唇裂患者进行唇裂修复,采用Millard术式并作以下改良:取消患侧鼻翼基部切口,在健侧做反转切口,充分延长患侧人中嵴保持两侧唇峰高度的对称性。结果所有病例术后1、3、6、12月、两年随访,唇弓清晰,患侧唇峰与健侧对称,双侧唇峰高度无视觉上差异。结论反转切口弥补了传统的Mil-lard法术后患侧唇高不足、唇峰不对称等缺点,效果良好,可为临床参考。

Objective To present a modified Millard technique for the repair of unilateral cleft lip.Methods 64 cases with unilateral cleft lip were operated by the Millard＇s method：Alar base incisim of cleft was canceled and a modification of the back cut was made to lengthen philtrum column,and the reason for further rotation was to maintain the symmetry of the peaks of Cupid＇s bow.Results The follow-up period ranged from 1 to 24 months.A lampros Cupid＇s bow was achieved and there was no discrepancy between in-cleft-side and non-cleft-side lip height for the eye to notice.Conclusion Back cut improved some deficiency of Millard＇s method and procure the aesthetic results.