Meara John G, Morrison Kerry A
From the Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA.
Department of Surgery, Harvard Medical School, Boston, MA.
Plast Reconstr Surg Glob Open. 2025 Jun 6;13(6):e6795. doi: 10.1097/GOX.0000000000006795. eCollection 2025 Jun.
This article describes the first author's hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques.
Key differentiating technical surgical pearls are delineated, including drawings and video content.
The first author incorporates 2 triangular skin flaps from the lateral lip into releasing incisions in the medial lip element. Furthermore, this technique obviates the need for a columellar back-cut or a C-flap, as both create a scar that distorts the natural columellar-labial junction and the appearance of the footplate region. Instead, the technique described here creates a natural skin "apron" that flows from the columella over the footplate region laterally on both sides and smoothly and gradually onto the philtrum in the midline.
The first author highlights 8 surgical principles for symmetrical correction.
本文介绍了第一作者用于单侧唇裂和鼻畸形修复的混合方法，该方法是从斯科格（Skoog）、米勒德（Millard）和费舍尔（Fisher）技术演变而来的。
阐述了关键的差异化手术技巧要点，包括绘图和视频内容。
第一作者将来自外侧唇的两个三角形皮瓣纳入内侧唇部的松解切口。此外，该技术无需进行鼻小柱后切或C瓣，因为这两者都会产生疤痕，从而扭曲鼻小柱与唇部的自然交界处以及鼻翼基底区域的外观。相反，此处描述的技术会形成一个自然的皮肤“围裙”，它从鼻小柱两侧横向越过鼻翼基底区域，然后在中线处平滑且逐渐地延伸至人中。
第一作者强调了8条对称矫正的手术原则。
