From the Section of Plastic Surgery, Yale School of Medicine; and Division of Orthodontics, University of Connecticut.
Plast Reconstr Surg. 2022 Jan 1;149(1):70e-73e. doi: 10.1097/PRS.0000000000008688.
Surgical management of unilateral cleft lip is challenging. Correction requires a comprehensive approach to ensure optimal aesthetic outcomes. Various techniques have been proposed for the repair of cleft lip. This article and video vignette highlight the senior author's (D.S.) preferred method for repair of a unilateral cleft lip using a modified inferior triangle technique, a Noordhoff triangular flap for vermillion augmentation, orbicularis oris chemodenervation to reduce tension at the repair site, and autologous fat grafting for lip sculpting.
单侧唇裂的手术治疗颇具挑战性。为了确保达到理想的美学效果，需要采取综合方法进行矫正。针对唇裂的修复，已经提出了各种技术。本文和视频短片重点介绍了资深作者（D.S.）采用改良的下三角技术修复单侧唇裂的方法，使用 Noordhoff 三角瓣进行红唇增加，口轮匝肌化学去神经支配以减少修复部位的张力，以及自体脂肪移植进行唇塑形。
