改良Millard法修复单侧唇裂64例  

Unilateral cleft lip repairment via improved Millard technique:a 64-case study

作　　者：宋培军[1] 李建成[1] 张莉[1] 李旭文[1] 王怀谷[1] 熊竹友[1] 蒋邦红 

机构地区：[1]蚌埠医学院第一附属医院,233004

出　　处：《实用医学杂志》2017年第11期1802-1804,共3页The Journal of Practical Medicine

基　　金：安徽省卫生和计划委员会资助(编号:2016QK026)

摘　　要：目的:探讨应用改良Millard法修复单侧唇裂的临床效果。方法:收集我院2014年7月至2015年6月期间64例单侧唇裂患者,对传统Millard法进行改良将传统的鼻小柱的定点移至近患侧鼻小柱根部,移动的范围根据鼻小柱畸形程度及鼻孔大小进行调整;不再设计鼻底及鼻翼基部切口,改为充分游离患侧的口轮匝肌,使其与健侧游离的口轮匝肌进行对位缝合。结果:本组患者均行改良Millard法进行修复后,经过1~12个月的随访,上唇、人中嵴解剖形态自然,两侧唇峰基本对称。结论:通过与传统Millard术式修复患者比较,外观有较大改善。改良Millard法修复单侧唇裂是一种比较理想的修复方法。Objective To observe the clinical effects of unilateral cleft lip repairmen via improved Millard technique. Methods 64 cases of patients with unilateral cleft lip were collected from July 2014 to June 2015. The traditional Millard technique was improved by moving traditional fixed point of eolumella nasi to close with the lateral nasal columella roots, and the moving range was adjusted according to the nasal eolumella deformity and nostril size. Meanwhile, the nasal floor and the alar basal incisions were not designed. Instead, fully free of affected side orbicularis oris muscles were applied to making apposition suture with the healthy side. Results It showed that anatomic form of the upper lip and the philtral column of patients, whose unilateral cleft lips were repaired by the improved Millard technique, were normal, and both sides of the lip peak were basically symmetrical after 1 ~ 12 month （s） follow-up. Conclusions Compared with the traditional Millard technique, the improved technique could bring a better effect on appearance of the patients. And it will be one of the ideal repairing techniques for unilateral cleft lip.

关 键 词：改良MILLARD法 单侧唇裂 修复 

分 类 号：R782.2[医药卫生—口腔医学]