Assuncao A G
Hospital de Reabilitacao de Bauru, University of São Paulo, Brazil.
Br J Plast Surg. 1992 May-Jun;45(4):293-6. doi: 10.1016/0007-1226(92)90055-3.
Results obtained in 70 cleft lip and palate patients who were assessed using the V.L.S. classification are presented. Of these 70 patients, 24 (34%) had had a Millard repair, 13 (19%) a straight line repair, and 33 (47%) had had a repair incorporating a Z-plasty. Both the Millard repair and the Z-plasty repair were associated with a lip of equal height in 54% of patients, whilst in the straight line repair group, 69% of patients had lips of equal height. A long lip was more often associated with the Z-plasty type repair group (27%) of patients, and short lips were more associated with Millard type repair (33%), and straight line repair (31%). Irrespective of the technique used, a notch at the site of the scar was the most common defect found at the vermilion. Wideness and irregularity were the most common unaesthetic features of the scar.
本文呈现了对70例唇腭裂患者使用V.L.S.分类法进行评估所获得的结果。在这70例患者中，24例（34%）接受了Millard修复术，13例（19%）接受了直线修复术，33例（47%）接受了包含Z成形术的修复术。Millard修复术和Z成形术修复的患者中，54%的患者唇部高度相等，而在直线修复术组中，69%的患者唇部高度相等。长唇更常出现在接受Z成形术式修复的患者组中（27%），短唇更多与Millard术式修复（33%）和直线修复（31%）相关。无论采用何种技术，瘢痕部位的切迹是在唇红部发现的最常见缺陷。瘢痕最常见的不美观特征是变宽和不规则。
