Perko M A
J Maxillofac Surg. 1977 Nov;5(4):245-9. doi: 10.1016/s0301-0503(77)80118-5.
Between 1973 and 1976, we performed 121 secondary corrections of the lip in cleft lip and palate cases; 75 of them were unilateral. Most of the cases were originally operated upon in another unit, usually by the same surgeon using a straight line closure according to Veau (1931). The result was always a short lip at the site of operation. In addition, the typical deformity of the aperture of the nose, with flatness of the ala cartilage, has been frequently observed. Various techniques have been used to correct the secondary deformities of the lip; some were modified by the author. In most cases, the Tennison (1952) technique was used with modification of the Trauner (1966) flap. The results of this technique were compared with those of Millard (1964). Other methods were used in a few cases. The results demonstrate, that by using the rotation advancement technique, better improvement of the nasal aperture will be obtained and the Z-plasty of the lip has the advantage of forming a cupid's bow. The method of lip correction chosen depends upon the nature of the lip deformity.
1973年至1976年间，我们对唇腭裂病例进行了121次唇部二期矫正手术；其中75例为单侧唇腭裂。大多数病例最初是在其他单位进行手术的，通常由同一位外科医生根据韦奥（1931年）的方法采用直线缝合。结果手术部位的唇部总是很短。此外，经常观察到典型的鼻口畸形，鼻翼软骨扁平。已经使用了各种技术来矫正唇部的二期畸形；有些是作者改良过的。在大多数情况下，采用了坦尼森（1952年）技术并对特劳纳（1966年）皮瓣进行了改良。将该技术的结果与米勒德（1964年）技术的结果进行了比较。少数病例采用了其他方法。结果表明，通过使用旋转推进技术，可以更好地改善鼻口，唇部Z成形术具有形成丘比特弓的优势。所选择的唇部矫正方法取决于唇部畸形的性质。
