唇裂的鼻小柱侧面皮瓣修复法

为唇裂患者塑造一个正常唇的美好形态，改进现在常用的手术对人中嵴，人中窝和朱缘弓这三种个重要美容结构的塑造中的缺欠，使修复后的嘎满，松动。方法在鼻小柱裂面形成一个矩形瓣，将其与人中一起垂直下降，被充裂侧唇人中的长度不 和保持朱缘弓在下降的正常位。

Cleft lip repair using a lateral columellar flap]

OBJECTIVE: Since the important cosmetic structures of a good looking lip, viz. the philtrum column, philtrum dimple and Cupid's bow of a cleft lip repaired with the commonly used methods, are still defective in various degrees, a new method is designed. METHODS: On the medial side of the cleft, the short philtrum is lengthened and the upwardly displaced Cupid's bow maintained in a lowered position by a rectangular flap transplanted from the lateral surface of the columella. No lip flap has been formed on the lateral side of the cleft. RESULTS: In a period of three years (1996-1998), 23 cases of unilateral cleft lip, 9 cases of bilateral cleft lip and 14 cases of secondary deformities of cleft lip have been repaired with this new method. All of the repaired lips have normal looking philtrum column (limited by an uninterrupted straight-line scar), philtrum dimple and Cupid's bow. CONCLUSION: The lateral columellar flap method is a more rational surgical procedure for cleft lip repair in that it repairs tissue defect by transplanting tissue from the unexposed area. The appearance of the repaired lip is better than that of the commonly used methods.