摘要
目的 分析阐明Millard法在修复单侧唇裂中的优点和缺陷。方法 对 30例单侧唇裂的患儿 ,应用MillardⅠ或Ⅱ型法修复 ,同时在唇红缘裂隙处作一交叉三角瓣的改良 ,并一期复位鼻翼软骨。结果 经 6个月～ 1年的随访 ,解剖复位效果满意 ,瘢痕隐蔽 ,人中完整 ,唇红丰满 ,鼻翼软骨复位良好 ,鼻小柱得以延长。结论 Millard法是修复单侧唇裂较为理想的方法 ,应用交叉三角瓣修复唇红缘 ,弥补了Millard法唇红缘修复方面的不足。一期鼻翼软骨钝性解剖复位效果良好 ,符合东方人种的特点。
ObjectiveTo analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL). Methods In 30 patients with UCL undergoing the cleft lip repair with the Millard Ⅰ or Ⅱ method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed. Results Postoperative follow-up of 6～12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition. ConclusionThe Millard method is good for UCL repair. The modified technique with a triangle flap on the vermilion edge can overcome Millard's disadvantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental.;
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2003年第1期30-32,共3页
Chinese Journal of Plastic Surgery
