Namba K
Ann Plast Surg. 1985 Mar;14(3):228-34. doi: 10.1097/00000637-198503000-00007.
The author's technique for the primary repair of unilateral cleft lip is described, including several improvements made over the last eight years. The technique aims at anatomical reconstruction of congenital anomalies of the orbicularis oris muscle as well as prevention of developmental disturbance and occurrence of deformity after surgical intervention. Cleft lip repair without muscle reconstruction may leave a concavity or a lump in the upper lip movement because of incomplete continuity of the orbicularis oris. No such result was found when muscle reconstruction was performed. In the primary repair of cleft lip, reconstruction of the orbicularis oris muscle is vital to preservation of good function and appearance of the lips.
本文描述了作者单侧唇裂一期修复的技术，包括过去八年所做的一些改进。该技术旨在对口轮匝肌先天性异常进行解剖重建，以及预防手术干预后发育障碍和畸形的发生。由于口轮匝肌连续性不完全，未进行肌肉重建的唇裂修复可能会在上唇运动时留下凹陷或肿块。而进行肌肉重建时未发现此类结果。在单侧唇裂一期修复中，口轮匝肌重建对于保持唇部良好的功能和外观至关重要。
