Clinical Application of a Resembling Rectangular Flap on Lateral Lip in Unilateral Cheiloplasty: A Modified Millard's Technique

作者全名："Wang, Xiaorong; Liao, Lishu; Li, Yijun; Tang, Shengyu; Li, Wanshan"

作者地址："[Wang, Xiaorong; Liao, Lishu; Li, Yijun; Tang, Shengyu; Li, Wanshan] Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Oral Dept,Key Lab Child Dev & Disorder, Chongqing, Peoples R China; [Li, Wanshan] Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Oral Dept,Key Lab Child Dev & Disorder, 136 Zhongshan Er Rd, Chongqing 400014, Peoples R China"

通信作者："Li, WS (通讯作者)，Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Oral Dept,Key Lab Child Dev & Disorder, 136 Zhongshan Er Rd, Chongqing 400014, Peoples R China."

来源：JOURNAL OF CRANIOFACIAL SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001059187900046

JCR分区：Q3

影响因子：1

年份：2023

卷号：34

期号：6

开始页：1666

结束页：1671

文献类型：Article

关键词：Nasal sill; resembling rectangular flap; rotation-advancement technique; symmetric ratio; unilateral cleft lip

摘要："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."

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