单侧唇裂修复中类似矩形瓣在侧唇的临床应用：改良 Millard 技术。
Clinical Application of a Resembling Rectangular Flap on Lateral Lip in Unilateral Cheiloplasty: A Modified Millard's Technique.
机构信息
Oral Department, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, P.R. China.
出版信息
J Craniofac Surg. 2023 Sep 1;34(6):1666-1671. doi: 10.1097/SCS.0000000000009373. Epub 2023 May 22.
PURPOSE
This clinical study aimed to design and utilize a modified rotation-advancement technique (MRAT) with a resembling rectangular flap on the lateral lip for primary unilateral cheiloplasty and evaluated its postoperative outcomes.
MATERIALS AND METHODS
A retrospective study was conducted on patients with a unilateral cleft lip who had undergone initial cheiloplasty with MRAT. The postoperative outcomes were assessed for nasolabial symmetry by photogrammetry. Repeated measures of ANOVA and two independent samples t tests were applied for statistical analysis.
RESULTS
Twenty patients with unilateral cleft lip met the inclusion criteria. Postoperatively, the patients had well-shaped nasal sill and centered nasal columella. In addition to, the bilateral symmetrical ratios noticeably improved ( P <0.001). Simultaneously, the postoperative outcomes were independent of the cleft type and height differences of the two peaks ( P >0.05).
CONCLUSIONS
Unilateral cheiloplasty using the present MRAT can better preserve the nasolabial structure and symmetry. The postoperative scar is concealed and simulates a normal philtral ridge.
目的
本临床研究旨在设计并利用一种改良的旋转推进技术（MRAT），在侧唇上形成类似矩形的皮瓣，用于单侧唇裂初次整复，并评估其术后效果。
材料和方法
对采用 MRAT 行初次唇裂整复术的单侧唇裂患者进行回顾性研究。通过照片测量评估术后鼻唇对称性。采用重复测量方差分析和两独立样本 t 检验进行统计学分析。
结果
20 例单侧唇裂患者符合纳入标准。术后患者鼻小柱基底形态良好，鼻中隔居中。此外，双侧对称性比例明显改善（P<0.001）。同时，术后效果与裂隙类型和双峰高度差异无关（P>0.05）。
结论
应用本研究中的 MRAT 行单侧唇裂整复术可更好地保存鼻唇结构和对称性。术后瘢痕隐蔽，模拟正常唇弓形态。
Zotero 插件