用于二期腭裂鼻整形术的鼻小柱皮瓣，可改善米勒德单侧唇裂修复术瘢痕的美观效果。
Columellar flap for secondary cleft rhinoplasty with esthetic improvement of Millard's unilateral cheiloplasty scar.
作者信息
Pausch N C, Hemprich A, Subbalekha K, Dhanuthai K, Neff A, Pitak-Arnnop P
机构信息
Department of oral, craniomaxillofacial and facial plastic surgery, faculty of medicine, university hospital of Leipzig, Leipzig, Germany.
出版信息
Rev Stomatol Chir Maxillofac Chir Orale. 2013 Nov;114(5):322-6. doi: 10.1016/j.revsto.2013.07.008. Epub 2013 Aug 27.
INTRODUCTION
Columellar cartilage graft helps improve esthetic results in secondary cleft rhinoplasty for patients presenting with cleft lips. However, inadequate skin coverage of the cartilaginous graft can result in columellar necrosis and graft loss. Moreover, the scar after Millard's primary cheiloplasty may not be esthetic. The aim of this article was to present the columellar flap technique to cover the columellar graft and to improve the scar after unilateral Millard's cheiloplasty.
TECHNICAL NOTE
The triangular flap is drawn on the edge of Millard's cheiloplasty scar. It is then moved in a V-Y fashion so as to cover the cartilaginous graft and improve the esthetic aspect of the new columella.
DISCUSSION
Four hundred and twelve teenage/adult rhinoplasties were performed in our department over 10 years (October 2001 to October 2011). This flap was used in 10 patients who were followed-up for at least 1 year. There were no severe postoperative complications. Millard's unilateral cheiloplasty scar was less visible. A prospective study is ongoing.
引言
对于唇裂患者，鼻小柱软骨移植有助于改善二期鼻整形术的美学效果。然而，软骨移植的皮肤覆盖不足可能导致鼻小柱坏死和移植失败。此外，米勒一期唇成形术后的瘢痕可能不美观。本文旨在介绍鼻小柱皮瓣技术，以覆盖鼻小柱移植并改善单侧米勒唇成形术后的瘢痕。
技术要点
在米勒唇成形术瘢痕边缘绘制三角形皮瓣。然后以V-Y方式移动，以覆盖软骨移植并改善新鼻小柱的美学外观。
讨论
我们科室在10年（2001年10月至2011年10月）内进行了412例青少年/成人鼻整形术。该皮瓣用于10例患者，随访至少1年。无严重术后并发症。米勒单侧唇成形术瘢痕不太明显。一项前瞻性研究正在进行中。
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