Minimal Paring of Skin Flaps for Primary Repair of Incomplete Unilateral Cleft Lip
Minimal Paring of Skin Flaps for Primary Repair of Incomplete Unilateral Cleft Lip
复制标题
皮瓣最小化一期修复不完全性单侧唇裂
DOI：
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发表时间：
2008
影响因子：
3.6
通讯作者：
Hoon Kim
中科院分区：
文献类型：
--
作者：
K. Koh;J. Choi;Hoon Kim
修复单侧唇裂的技术在过去的几十年里不断发展。尽管许多作者已经修改了原始的Millard方法，1-3这些方法存在潜在的问题，例如尽管试图最大限度地减少下唇基底上的横向瘢痕，但沿着下唇仍会形成明显的瘢痕，以及由于误用小三角形皮瓣而导致的唇部下垂。Onizuka 4在白色卷上应用了一个小的三角形皮瓣，以允许足够的旋转并最大限度地减少背切，而Noordhof和Chen 5避免了颅底切口，以防止不可接受的疤痕。尽管不断努力改善单侧唇裂修复，但很少有专门用于不完全唇裂修复的方法。6与完全单侧唇裂不同，不完全唇裂在裂侧有丰富的组织，特别是在唇基处。外侧皮瓣的推进导致鼻小柱基部和鼻小柱底的组织冗余，然后通过手术切除以获得对称的鼻小柱。相反，在我们的方法中，多余的组织被保存以增加鼻小柱基底和鼻小柱槛。我们认为，完全性唇裂和不完全性唇裂应区别对待，这导致我们设计了一种特定的方法，用于单侧不完全唇裂的一期修复。本报告描述了一种方法，其中多余的组织被保存，以增加在裂侧的鼻小柱基部和鼻小柱槛，并且皮瓣剥离和手术切口的量被最小化。
Techniques for repairing unilateral cleft lips have evolved continuously over the past few decades. Although many authors have revised the original Millard method,1–3 these methods have potential problems, such as obvious scarring along the nostril despite attempts to minimize the transverse scar on the alar base, and lip drooping caused by misapplication of small triangular flaps. Onizuka4 applied a small triangular flap above a white roll to allow enough rotation and to minimize the back-cut, whereas Noordhof and Chen5 avoided the alar base incision to prevent unacceptable scarring. Despite continuous efforts to improve unilateral cleft lip repair, few methods specific for incomplete cleft lip repair have been introduced.6 Unlike a complete unilateral cleft lip, the incomplete form has abundant tissue on the cleft side, especially at the nostril sill. Advancement of a lateral skin flap results in tissue redundancy at the columellar base and nostril sill that is then surgically excised to achieve a symmetric nostril. In contrast, redundant tissue is saved to augment the columellar base and nostril sill in our method. We believe that complete and incomplete cleft lips should be treated differently, which has led us to devise a specific method for primary repair of incomplete unilateral cleft lips. The present report describes a method where redundant tissue is saved to augment the columellar base and nostril sill at the cleft side, and the amount of skin flap paring and surgical incision is minimized.
单侧唇裂鼻旋转推进和三角瓣唇修复后皮肤包膜的比较研究。
影响因子：
3.6
作者：
Cutting,CB;Bardach,J;Pang,R
通讯作者：
Pang,R