{"title":"单侧唇裂和鼻畸形：对称矫正的8个原则。","authors":"John G Meara, Kerry A Morrison","doi":"10.1097/GOX.0000000000006795","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This article describes the first author's hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques.</p><p><strong>Methods: </strong>Key differentiating technical surgical pearls are delineated, including drawings and video content.</p><p><strong>Results: </strong>The first author incorporates 2 triangular skin flaps from the lateral lip into releasing incisions in the medial lip element. Furthermore, this technique obviates the need for a columellar back-cut or a C-flap, as both create a scar that distorts the natural columellar-labial junction and the appearance of the footplate region. Instead, the technique described here creates a natural skin \"apron\" that flows from the columella over the footplate region laterally on both sides and smoothly and gradually onto the philtrum in the midline.</p><p><strong>Conclusions: </strong>The first author highlights 8 surgical principles for symmetrical correction.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 6","pages":"e6795"},"PeriodicalIF":1.5000,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144648/pdf/","citationCount":"0","resultStr":"{\"title\":\"Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction.\",\"authors\":\"John G Meara, Kerry A Morrison\",\"doi\":\"10.1097/GOX.0000000000006795\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This article describes the first author's hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques.</p><p><strong>Methods: </strong>Key differentiating technical surgical pearls are delineated, including drawings and video content.</p><p><strong>Results: </strong>The first author incorporates 2 triangular skin flaps from the lateral lip into releasing incisions in the medial lip element. Furthermore, this technique obviates the need for a columellar back-cut or a C-flap, as both create a scar that distorts the natural columellar-labial junction and the appearance of the footplate region. Instead, the technique described here creates a natural skin \\\"apron\\\" that flows from the columella over the footplate region laterally on both sides and smoothly and gradually onto the philtrum in the midline.</p><p><strong>Conclusions: </strong>The first author highlights 8 surgical principles for symmetrical correction.</p>\",\"PeriodicalId\":20149,\"journal\":{\"name\":\"Plastic and Reconstructive Surgery Global Open\",\"volume\":\"13 6\",\"pages\":\"e6795\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-06-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144648/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Plastic and Reconstructive Surgery Global Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/GOX.0000000000006795\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006795","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction.
Background: This article describes the first author's hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques.
Methods: Key differentiating technical surgical pearls are delineated, including drawings and video content.
Results: The first author incorporates 2 triangular skin flaps from the lateral lip into releasing incisions in the medial lip element. Furthermore, this technique obviates the need for a columellar back-cut or a C-flap, as both create a scar that distorts the natural columellar-labial junction and the appearance of the footplate region. Instead, the technique described here creates a natural skin "apron" that flows from the columella over the footplate region laterally on both sides and smoothly and gradually onto the philtrum in the midline.
Conclusions: The first author highlights 8 surgical principles for symmetrical correction.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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