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自1879年Rose将唇裂修复术引向规范化以来,一个多世纪中,人们对唇裂的修复作了大量的研究,方法甚多。但传统均以在患侧唇的上部作直线切口,在其下部形成各式各样的组织瓣。以后,Millard打破了这个传统,在患唇的上部形成组织瓣,在其下部作直线切口,用单侧唇裂产生了一个根本性的变革。 Millard认为,他的方法(Millard’s Ⅰ式)是一个修复单侧三度唇裂的方法。但较多的临床实践证明,他的方法最适合单侧二度唇裂和仅有鼻孔底裂,没有牙槽嵴裂的较轻三度唇裂。Millard’s Ⅰ式在严重的单侧唇裂修复中存在着患侧下降不充分已被
Since 1879, Rose has been leading the standardization of cleft lip repair. For more than a century, people have done a lot of research on the repair of cleft lip, and there are many ways. However, traditionally, the upper part of the ipsilateral lip is made to be a straight incision, forming a variety of tissue flaps in the lower part. Later, Millard broke the tradition by forming tissue flaps in the upper part of the affected labial and linear incisions in the lower part of the labial, creating a fundamental transformation with unilateral cleft lip. According to Millard, his method (Millard's type I) is a method of repairing unilateral cleft lip. However, more clinical practice has proved that his method is the most suitable for unilateral cleft lip and cleft lip with only third instar cleft without cleft lip. Millard's type I has been deficient in ipsilateral reduction in severe unilateral cleft lip repair