A triangular flap operation for the primary repair of unilateral clefts of the lip.
A triangular flap operation for the primary repair of unilateral clefts of the lip.
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DOI：
10.1097/00006534-195904000-00003
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发表时间：
1959-04-01
期刊：
影响因子：
--
通讯作者：
RANDALL, P
中科院分区：
文献类型：
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作者：
RANDALL, P
332 PLASTIC &：Reconcentive Surgery Vol. 23，No. 4 visible so why not preserve it？.似乎合乎逻辑的是，一个保留了正常丘比特弓箭队形的手术应该得到最大的考虑。”卡多佐“早些时候指出，许多通常的修复方法很少考虑到正常的丘比特之弓的保护。人们普遍认为，通常需要从唇沟外侧取一片组织瓣来填补“鼻柱侧下缘的缺陷..”。已尝试的模式包括矩形皮瓣，方形皮瓣，圆形皮瓣，三角形皮瓣，鼻小柱侧皮瓣，鼻侧皮瓣和两侧交错的“锯齿”皮瓣。偶尔在一个小的裂缝似乎没有“缺陷”，并关闭，使用某种“V”切除没有皮瓣，一直是相当令人满意的。然而，在将移位的丘比特之弓放回水平位置时，斯库格”注意到这样产生的缺陷是三角形的，因此从侧面进行三角形皮瓣似乎是合理的。各种三角形皮瓣已经使用了多年，而米罗”通常被认为是侧面三角形皮瓣的最初倡导者之一。然而，他使用三角形皮瓣从内侧以及外侧的裂缝，与各种类型的设计。马克斯和他的同事们”赞扬坦尼森”，因为他提出了一种与众不同的、切实可行的方法，用他的三角翼操作。这两位外科医生使用的皮瓣都很大，尽管这些皮瓣在宽缺损的儿童中显示出良好的效果，但在较窄的裂缝中，似乎可以使用更小的皮瓣来获得更好的优势。
332 PLASTIC &: RECONSTRUCTIVE SURGERY Vol. 23, No. 4 visible so why not preserve it?... It seems logical that an operation that preserves what appears to be a normal Cupid's bow formation should receive utmost consideration.” Cardoso" earlier noted that many of the usual methods of repair had little regard for the preservation of the normal Cupid's bow. It has been generally accepted that a flap of tissue from the lateral side of the cleft is usually needed to fill the “deficiency at the lower border on the columellar side.... Patterns that have been tried included rectangular flaps, square flaps, round flaps, triangular flaps, flaps from the columellar side, flaps from the alar side and interdigitating “saw-tooth'flaps from both sides." Occasionally in a minimal cleft there seems to be no “deficiency,” and closure, using some sort of “V” excision without a flap, has been quite satisfactory. However, in dropping the displaced Cupid's bow down to a horizontal position, Skoog" notes that the defect so produced is a triangular one and therefore, a triangular flap from the lateral side seems logical.Triangular flaps of one sort or another have been used for years, and Mirault" is usually considered one of the original advocates of the lateral triangular flap. However, he used triangular flaps from both the medial as well as the lateral side of the cleft, with various types of design. Marcks and co-workers" credit Tennison" for having presented an outstandingly different and practical approach with his triangular fiap operation. The flaps used by both of these surgeons are quite large and although these are shown to produce excellent results in children with wide defects, in narrower clefts it would seem that a much smaller flap could be used to better advantage.