个体化单侧唇裂修复术式的设计

目的：探讨更加合理而有针对性的个体化单侧唇裂修复术式。方法：将现有单侧唇裂畸形分为４种类型，并针对每一类畸形的特点，应用已知的几何学原理，进行手术设计。结果；共设计出４种常用的单侧唇裂修复术式，其中术式Ⅰ为Ｍｉｌｌａｒｄ法的设计，术式Ⅱ与Ⅳ则是在Ｍｉｌｌａｒｄ法的设计基础上，根据不同的适应证增加Ｔｅｎｎｉｓｏｎ法的手术设计。而术式Ⅲ则完全是一种新的设计方法。

A Study of Individual Operation Designs for Unilateral Cleft Lip Repair

OBJECTIVE: To formulate a reasonable and effective individual operation design that can be adaptable to various forms of deformity of unilateral cleft lip. METHODS: The unilateral deformity of unilateral cleft lip was classified into four types (Type I, II, III, IV) according to the distances from the midpoint of the base of columella and the points of alar bases respectively to cupid's bow peaks of both sides. Furthermore, according to the characteristics of deformity, four types of operation were designed respectively under the standard of making both cupid's bow peaks along cleft drop in the same levels, and the essentials were restoring and making the distances from the midpoint of the base of columella and the points of alar bases to both cupid's bow peaks symmetric. RESULTS: Type I operation was almost the same as the Millard's operation design, and the basic designs of Type II and Type IV operation were also the same as the Millard's operation design, but were combined with the Tennison's operation design. Type III operation was a new operation design of unilateral cleft lip repair. CONCLUSION: The individual operation design in unilateral cleft lip repair should be definitely according to the characteristics of cleft lip deformity.