Mulliken J B
Plast Reconstr Surg. 1985 Apr;75(4):477-87. doi: 10.1097/00006534-198504000-00003.
Important principles for repair of bilateral complete cleft lip are symmetry, primary orbicularis continuity, proper prolabial size and shape, median tubercle and mucocutaneous ridge formation from lateral lip tissue, and early construction of nasal tip and columella with anatomic placement of the alar cartilages. A two-stage repair employing techniques based on these concepts is described. At the initial procedure, the lateral crura are positioned and a tiny biconcave prolabium is shaped in anticipation of the changes with growth. The second stage (nasal correction) includes apposition of the alar genua, medial crural relocation, and intranasal transposition of banked forked flaps without disjunction of the columella-labial angle. The complete bilateral cleft lip is a four-dimensional problem.
双侧完全性唇裂修复的重要原则包括对称性、口轮匝肌的连续性、合适的前唇部大小和形状、由外侧唇组织形成正中结节和黏膜皮肤嵴，以及早期构建鼻尖和鼻小柱并将鼻翼软骨置于解剖位置。本文描述了一种基于这些概念的两阶段修复技术。在初始手术中，定位外侧脚并塑造一个微小的双凹形前唇部，以预期其随生长的变化。第二阶段（鼻矫正）包括鼻翼膝部的对合、内侧脚的重新定位以及储存的叉状皮瓣的鼻内移位，同时不分离鼻小柱-唇角。完全性双侧唇裂是一个四维问题。
