Department of Plastic Surgery, 38061Chiba Children's Hospital, Chiba, Japan.
Cleft Palate Craniofac J. 2021 Jun;58(6):791-795. doi: 10.1177/1055665620962364. Epub 2020 Sep 29.
There are several surgical techniques for unilateral cleft lip repair. In most of these techniques, the points where the postoperative scars cross the vermilion border are on the peak of the Cupid's bow. These scars make the shape of Cupid's bow indistinct. To maintain the natural shape of the Cupid's bow, we modified the surgical technique.
We modified the modified Millard's surgical technique (Onizuka's surgical technique). The main point of this modification was as follows: we combined a small triangular flap and a vermilion triangular flap (described by Noordhoff). We maintained the projection point on the lateral side of cleft lip which was coordinated to the peak of the Cupid's bow.
We could preserve the shape and symmetry of the peak of the Cupid's bow.
To keep the projection point on the affected side of cleft lip and the surrounding vermilion border as one curve structure is important in maintaining the natural shape of the Cupid's bow.
单侧唇裂修复有几种手术技术。在这些技术中，术后瘢痕交叉唇珠顶点的部位在丘比特弓的顶峰。这些瘢痕使丘比特弓的形状变得不明显。为了保持丘比特弓的自然形状，我们修改了手术技术。
我们修改了改良的 Millard 手术技术（Onizuka 手术技术）。这种修改的主要要点如下：我们结合了一个小的三角瓣和一个唇红三角瓣（由 Noordhoff 描述）。我们保持了与丘比特弓顶峰协调的裂侧的突出点。
我们能够保持唇珠的形状和对称性。
保持裂侧唇和周围唇红的突出点为一个曲线结构对于保持丘比特弓的自然形状很重要。
