改良MillardⅡ法修复单侧完全性唇裂  被引量:1

Clinical analysis of improved MillardⅡ method for 286 unilateral complete cleft lip

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作  者:纪影畅[1] 李宇[1] 许宏权[1] 李宏生[1] 王传家[1] 

机构地区:[1]汕头大学医学院第一附属医院整形科,广东省汕头市515041

出  处:《中国美容医学》2004年第5期589-591,共3页Chinese Journal of Aesthetic Medicine

摘  要:目的:探讨单侧完全性唇裂的理想修复术式。方法:对MillardⅡ法进行了改进,C瓣向上旋转修复鼻底,A、C两瓣的间隙则由B瓣尖端的小矩形瓣插入修复;增加了环鼻翼切口,使鼻翼外侧脚更易复位;口轮匝肌重建;采用交叉“Z”形瓣插入法修复红唇。结果:自1997年始共修复286例,随访214例,除7例鼻底糜烂和口腔洞穿,最后以瘢痕愈合,4例出现患侧唇峰下降不彻底外,其余效果满意。结论:改良的MillardⅡ法修复单侧完全性唇裂可使唇部和鼻畸形均得到良好的矫正。Objective To explore the ideal method for repairing the unilateral complete cleft lip. Methods MillardⅡmethod was improved by turning C flap upward for making nasal floor full,inserting the small rectangle flap in the tip of B flap to the space between A and C flap,reconstructing orbicularis oris and adding the cut surrounding alae nasi lateral crus for the latter could be easily returned to the normal place.The vermilion was repaired by Z-plasty. Results Postoperative follow-up revealed that most of the patients(203/214)got satisfactory results. Conclusion The improved MillardⅡ method is suitable for unilateral complete cleft lip repair.

关 键 词:单侧完全性唇裂 MillardⅡ术式 鼻畸形 

分 类 号:R782.2[医药卫生—口腔医学]

 

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