CAJ | 학술논문

目的：介绍一种改进瓣尖设计与缝合位点的术式。方法：患侧推进瓣瓣尖设计成弧形，缝合时弧形顶点第7点与健侧鼻小柱下第5点缝合，第6点与6'点缝合。结果：整个上唇唇弓自然，唇高双侧对称，鼻小柱下方瘢痕明显减少，患者家属满意度高。结论：微调整Millard切口设计及缝合方式，可获得良好的唇裂修复效果，提高单侧唇裂患者家属的满意度。
목적：개소일충개진판첨설계여봉합위점적술식。방법：환측추진판판첨설계성호형，봉합시호형정점제7점여건측비소주하제5점봉합，제6점여6'점봉합。결과：정개상진진궁자연，진고쌍측대칭，비소주하방반흔명현감소，환자가속만의도고。결론：미조정Millard절구설계급봉합방식，가획득량호적진렬수복효과，제고단측진렬환자가속적만의도。
Objective Millard's rotation advancement technique has long been considered as principal of unilateral cleft lip repair.However,this method owe a constant postoperative effect,we introduce a modified technique to better design the C flap and the suture point. Methods We present a retrospective review of 25 cases of unilateral cleft lip patients,average age 5.2 months, referred to the department of oral and maxillofacial surgery of Hunan provincial people's hospital from March to December of 2012.A back-cut was designed to end at the lip-columellar junction and the C-flap is used to both fill the columellar defect and abut the rotated lip segment, and outline of the peak of C flap was arc rather than angular.The skin point 7 sutured with point 5,point 6 sutured with point 6'. Results The Cupid's bow and the lip height were symmetry, the scar below the columella decreased significantly,the patient family satisfaction was high. Conclusion These results suggested that modified the C flap and suture point can be achieved using our technique.