Aluko-Olokun Bayo, Olaitan Ademola Abayomi, Olubi Olawale, Adediran Olanrewaju Moses
Maxillofacial Surgery, National Hospital Abuja, Abuja.
Department of Oral and Maxillofacial Surgery.
J Craniofac Surg. 2018 Nov;29(8):e804-e807. doi: 10.1097/SCS.0000000000004834.
This study aimed to assess the outcome of our novel free-hand approach. Numerous cleft lip repair techniques exist, all of which involve incisions on skin and excision of tissue. Unilateral cleft lip is the result of failure of migration of orofacial tissues in-utero. Cleft lip repair should ideally involve an approach that simulates nature by avoiding skin incision and tissue excision, as these are not known to occur in the normal natural sequence of events.Without incising skin or excising any tissue, vermillion flaps were raised exposing the muscular layer and edges of skin and mucosa. Similar tissue types were advanced and sutured across the cleft, replicating what should have occurred normally.All 28 patients (100%) treated using our technique had competent lips. Acceptable symmetry of the vermillion was achieved in 24 (85.7%) of the patients. Lip symmetry was judged to be acceptable in 22 (78.6%). Symmetry of the nose was acceptable in 18 (64.3%) of patients.The Olokun-Olaitan vermillion flap approach proved effective in the repair of unilateral cleft lip, as it compared very favorably with results obtained using Millard's technique.
本研究旨在评估我们新颖的徒手操作方法的效果。现存在多种唇裂修复技术，所有这些技术都涉及皮肤切口和组织切除。单侧唇裂是子宫内口面部组织迁移失败的结果。理想情况下，唇裂修复应采用一种通过避免皮肤切口和组织切除来模拟自然的方法，因为在正常自然事件序列中这些情况不会发生。在不切开皮肤或切除任何组织的情况下，掀起唇红瓣，暴露肌肉层以及皮肤和黏膜边缘。推进相似的组织类型并横跨裂隙缝合，复制正常情况下应该发生的过程。所有28例采用我们技术治疗的患者（100%）唇部功能良好。24例（85.7%）患者的唇红对称性可接受。22例（78.6%）患者的唇部对称性被判定为可接受。18例（64.3%）患者的鼻部对称性可接受。奥洛昆 - 奥莱坦唇红瓣方法在单侧唇裂修复中被证明是有效的，因为与使用米勒德技术获得的结果相比非常有利。
