Chicago, Ill. From the Department of Plastic Surgery, Northwestern University, and Shriners Hospital for Children.
Plast Reconstr Surg. 2010 Feb;125(2):620-628. doi: 10.1097/PRS.0b013e3181c82f4c.
Most conventional repairs for unilateral cleft lip are based on the notion that the two joined edges of skin should be the same length. To this end, they incorporate designs that include darts, cutbacks, rotation flaps, and other strategies to match the length of the two segments. As unequal skin edges are routinely joined surgically, it should be unnecessary to incorporate maneuvers in unilateral cleft lip repair to match the segment lengths. A repair that places the scar along the philtral ridge was developed. This eliminates scars that deviate from the aesthetic subunits.
Since 1982, a procedure has been used for unilateral cleft lip repair that incorporates the Kernahan functional muscle repair with a vertical skin closure, a white roll flap, and a dart at the nasal sill. The results of this lip repair, which does not intentionally match the segment lengths, are reviewed. Photographs of 10 consecutive patients who had their unilateral cleft lips repaired with this technique are presented for critical analysis. The mean age at operation was 15.4 weeks (range, 8 to 30 weeks). The mean postoperative period for the presented photographs was 66 months (range, 31 to 87 months). All of the patients healed without complications, and no revisions were performed.
Preoperative and postoperative photographs of 10 consecutive patients demonstrate that normal lip length can be achieved without scars outside of the aesthetic subunits of the lip.
The unilateral cleft lip deformity is repairable, with excellent results, without incorporating maneuvers to match the lengths of the opposing cut edges.
大多数单侧唇裂的传统修复方法基于这样一种观念，即两侧相连的皮肤边缘应该等长。为此，他们采用了各种设计，包括褶裥、缩短、旋转皮瓣等策略，以匹配两段的长度。由于不等长的皮肤边缘通常在手术中进行缝合，因此在单侧唇裂修复中没有必要采用匹配段长度的操作。我们开发了一种将瘢痕沿着人中嵴放置的修复方法。这消除了偏离美学亚单位的瘢痕。
自 1982 年以来，我们一直采用一种单侧唇裂修复方法，该方法结合了 Kernahan 功能性肌肉修复术、垂直皮肤缝合、白色卷瓣和鼻翼基底皮瓣。我们回顾了这种不故意匹配段长度的唇裂修复的结果。我们呈现了 10 例连续患者采用该技术修复单侧唇裂的照片进行批判性分析。患者的平均手术年龄为 15.4 周（范围为 8 至 30 周）。呈现照片的平均术后时间为 66 个月（范围为 31 至 87 个月）。所有患者均愈合良好，无并发症，无需进行修复。
10 例连续患者的术前和术后照片表明，无需在唇的美学亚单位之外采用瘢痕来实现正常的唇长。
单侧唇裂畸形是可以修复的，且可以获得良好的效果，而无需采用匹配对侧切开边缘长度的操作。
