改良Millard法修复先天性单侧唇裂  

Improvement for Millard's method of unilateral cleft lip repair

作　　者：卞新浩[1] 

机构地区：[1]石门县人民医院耳鼻咽喉头颈外科,湖南石门415300

出　　处：《中国美容医学》2007年第3期352-354,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:介绍Millard单侧唇裂修复术的改良方法并观察手术效果。方法:对49例先天性单侧唇裂应用改良的Millard法修复:改良Ⅰ式不在患侧鼻孔下方作切口,减少了瘢痕形成;利用患侧干燥红唇组织重建健侧唇弓部分的红唇欠缺;利用小瓣“L”、“M”连同唇颊黏膜瓣来参与闭合梨状缘附近的伤口促进愈合;松解患侧鼻翼外侧脚及鼻腔内作松弛切口重建前鼻孔;灵活掌握“5～x”的返切和“C”瓣的旋转推进方向来延长唇高。结果:所有病例出院时双侧唇高相等,唇弓形态自然,鼻孔外观良好,效果满意。结论:该改良技术弥补了传统的Millard法术后易发生唇高不足、干燥红唇与湿润红唇错位等缺点,提高了美容效果。Objective To introduce the improved Millard＇s method of unilateral cleft lip repair, effect of the operation. Methods 49 cases with unilateral cleft lip were repaired on modified and observe the Millard＇s method. These ways include： The improved type＂ I ＂didn＇t make cut under the anterior naris：the distinction between the wet and dry vermilion of the lip, and the application in the operation~ closed in the wound near at pyriform aperture edge by＂L-flap＂and＂M-flap＂; relaxed alae nasi and made a slack cut in the nasal cavity; flexible use for＂5-x＂ back cut and ＂C-flap＂. Results All the cases got satisfied curative effect at leaving hospital. Conclusion The technique improved on the some deficiency of Millard＇s method is better than that on the traditional ways and increases the aesthetic results.

关 键 词：唇裂 修复 改良 

分 类 号：R782.2[医药卫生—口腔医学]