Hoghoughi Mohammad Ali, Habibagahi Raha
Department of Burn and Wound Healing Research Center, Plastic and Reconstructive Surgery Ward, Shiraz University of Medical Science, Shiraz, Iran.
Department of Biomaterials, Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
World J Plast Surg. 2019 May;8(2):213-218. doi: 10.29252/wjps.8.2.213.
Various techniques have been used for cleft repair such as the straight-line closure, the rotation advancement technique and the anatomic subunit approach which are famous new approaches gained popularity. However, these methods have several advantages and disadvantages and sometimes are difficult to adopt. In this study, we described our novel technique, known as separated multiple Y-to-V-plasty, in treatment of several cases of unilateral cleft lip.
Plastic surgeons usually try to avoid straight closure of the wound, especially in areas where they need to stretch, move and enhance the length of the wound in some stages of the procedure. Since the lip is a dynamic and active structure and is constantly moving, the use of straight-line incision and closure in that area is in conflict with this basic concept.
In our newly introduced technique, we avoided a straight-line closure along the skin and mucosa for the repair of the unilateral cleft lip. This issue is of utmost importance in cases with severe loss of lip height and discrepancy.
To acquire a natural and balanced shape in unilateral cleft lip repair, we recommended the novel Y-to-V-plasty technique as an effective method for severe unilateral cleft lip with enormous discrepancy.
各种技术已被用于唇裂修复，如直线缝合、旋转推进技术和解剖亚单位法，这些都是著名的新方法且颇受欢迎。然而，这些方法有若干优点和缺点，有时难以采用。在本研究中，我们描述了我们的新技术，即分离式多Y-V成形术，用于治疗几例单侧唇裂。
整形外科医生通常尽量避免直接缝合伤口，尤其是在手术的某些阶段需要拉伸、移动和延长伤口长度的区域。由于唇部是一个动态且活跃的结构，且不断运动，在该区域使用直线切口和缝合与这一基本概念相冲突。
在我们新引入的技术中，我们避免了沿皮肤和黏膜对单侧唇裂进行直线缝合。在唇高严重缺失和存在差异的病例中，这个问题至关重要。
为了在单侧唇裂修复中获得自然且平衡的外形，我们推荐新颖的Y-V成形术技术作为治疗严重单侧唇裂且差异巨大的有效方法。
Zotero 插件
