Hyderabad and Mangalore, Karnataka, India; and Nijmegen, The Netherlands From the GSR Institute of Craniofacial Surgery; the Department of Preventive and Curative Dentistry, Radboud University Nijmegen Medical Center; A. B. Shetty Memorial Dental College and Hospital; and the Department of Orthodontics and Oral Biology, Cleft Palate Craniofacial Unit, and the Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Center.
Plast Reconstr Surg. 2010 Apr;125(4):1208-1216. doi: 10.1097/PRS.0b013e3181d45143.
The incision design for correcting a unilateral cleft lip is important because all subsequent stages of surgery depend on the access and maneuverability of the incision. This prospective cohort study compares the aesthetic and functional outcomes of three different skin incisions for primary unilateral cleft lip repair.
Patients with complete unilateral cleft lips (n = 1200) were enrolled and divided into three groups of 400 patients. Each group of patients was operated on with the Millard incision, Pfeifer wave line incision, or Afroze incision. Outcome assessments were performed 2 years postoperatively and consisted of assessment of the white roll, vermilion border, scar, Cupid's bow, lip length, nostril symmetry, and appearance of alar dome and base.
With regard to white roll, vermilion border, scar, Cupid's bow, and lip length, the Afroze incision always gave superior results compared with the Millard or Pfeifer incision. Depending on the cut-off for treatment success, the Afroze incision also showed better results regarding nostril symmetry. With respect to the alar base and alar dome, all three incisions showed comparable outcomes.
The Afroze incision is superior regarding a broad spectrum of outcomes in a heterogeneous population of patients with unilateral cleft lip.
纠正单侧唇裂的切口设计很重要，因为手术的所有后续阶段都取决于切口的可及性和可操作性。本前瞻性队列研究比较了三种不同的皮肤切口在单侧唇裂初次修复中的美学和功能效果。
纳入了 1200 例完全性单侧唇裂患者，并将其分为 3 组，每组 400 例。每组患者均采用 Millard 切口、Pfeifer 波状线切口或 Afroze 切口进行手术。术后 2 年进行疗效评估，评估内容包括白唇卷、红唇缘、瘢痕、丘比特弓、唇长、鼻孔对称性以及鼻翼穹窿和鼻翼基底外观。
就白唇卷、红唇缘、瘢痕、丘比特弓和唇长而言，Afroze 切口的效果始终优于 Millard 或 Pfeifer 切口。根据治疗成功的截止值，Afroze 切口在鼻孔对称性方面也显示出更好的效果。在鼻翼基底和鼻翼穹窿方面，三种切口均显示出可比的结果。
在单侧唇裂的异质人群中，Afroze 切口在广泛的疗效指标上均具有优势。
