Mohler L R
Department of Surgery, Ohio State University College of Medicine, Columbus.
Plast Reconstr Surg. 1987 Oct;80(4):511-7. doi: 10.1097/00006534-198710000-00005.
The marking of the medial lip segment of the Millard rotation advancement procedure for repair of the unilateral cleft lip has been altered in the uppermost portion by utilizing tissue from the columellar base. Once adequate length has been obtained, cutback is utilized at approximately 90 degrees. With adequate full-thickness release of this medial lip segment and subsequent rotation into the proper position, the C flap is advanced into the donor defect of the columellar base and is also used to lengthen the shortened columella on the cleft side. This results in placement of a scar that will closely simulate the "mirror image" of the noninvolved philtral column. Fifty-seven patients with unilateral cleft lip have been repaired utilizing this technique during the past 14 years. Several of these children have required secondary surgeries because of mucosal irregularities or residual nasal deformities, but none has required additional surgery because of inadequate rotation of the medial lip segment or for correction of any donor-site defect at the base of the columella.
在修复单侧唇裂的Millard旋转推进法中，通过利用来自鼻小柱基部的组织，该手术内侧唇部段标记的最上部已被改变。一旦获得足够的长度，以大约90度进行削减。随着该内侧唇部段充分的全层松解并随后旋转到合适位置，C瓣推进到鼻小柱基部的供区缺损处，并且还用于延长唇裂侧缩短的鼻小柱。这使得瘢痕的位置能够紧密模拟未受累人中柱的“镜像”。在过去14年中，已有57例单侧唇裂患者采用该技术进行修复。这些儿童中有几例因黏膜不规则或残留鼻畸形而需要二次手术，但没有一例因内侧唇部段旋转不足或因矫正鼻小柱基部的任何供区缺损而需要额外手术。
