旋转推进法单侧唇裂修复术中鼻底切口设计与缝合的改进  

A new modified Millard method of unilateral cleft lip repair by improvement of nasal floor incision and suture point design

作　　者：刘丰[1] 杨汉林[1] 

机构地区：[1]湖南省人民医院口腔颌面外科,湖南长沙410005

出　　处：《中国美容医学》2015年第5期32-34,共3页Chinese Journal of Aesthetic Medicine

基　　金：湖南省人民医院青年人才基金

摘　　要：目的:介绍一种改进瓣尖设计与缝合位点的术式。方法:患侧推进瓣瓣尖设计成弧形,缝合时弧形顶点第7点与健侧鼻小柱下第5点缝合,第6点与6'点缝合。结果:整个上唇唇弓自然,唇高双侧对称,鼻小柱下方瘢痕明显减少,患者家属满意度高。结论:微调整Millard切口设计及缝合方式,可获得良好的唇裂修复效果,提高单侧唇裂患者家属的满意度。Objective Millard＇s rotation advancement technique has long been considered as principal of unilateral cleft lip repair.However,this method owe a constant postoperative effect,we introduce a modified technique to better design the C flap and the suture point. Methods We present a retrospective review of 25 cases of unilateral cleft lip patients,average age 5.2 months, referred to the department of oral and maxillofacial surgery of Hunan provincial people＇s hospital from March to December of 2012.A back-cut was designed to end at the lip-columellar junction and the C-flap is used to both fill the columellar defect and abut the rotated lip segment, and outline of the peak of C flap was arc rather than angular.The skin point 7 sutured with point 5,point 6 sutured with point 6＂. Results The Cupid＇s bow and the lip height were symmetry, the scar below the columella decreased significantly, the patient family satisfaction was high. Conclusion These results suggested that modified the C flap and suture point can be achieved using our technique.

关 键 词：唇裂 旋转推进法 患者满意度 

分 类 号：R782[医药卫生—口腔医学]