A modified Mohler technique for patients with unilateral cleft lip based on geometric principles—A primary report
| Autor: | Yuxiang Zhong, Liqi Li, Li Xiang, Lishu Liao, Wanshan Li, Yuangui Li |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Labial Frenum
Male medicine.medical_specialty Cleft Lip Facial Muscles Surgical Flaps Healthy control medicine Humans Vermilion Retrospective Studies business.industry Dissection Matched control Mouth Mucosa Infant Skin Transplantation Plastic Surgery Procedures Lip Surgery Nasal Mucosa Treatment Outcome Otorhinolaryngology Case-Control Studies Photogrammetry Female Nasal Cavity Oral Surgery business Follow-Up Studies |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 43:663-670 |
| ISSN: | 1010-5182 |
| DOI: | 10.1016/j.jcms.2015.03.021 |
| Popis: | Objective The Mohler technique is one of the most popular methods to repair unilateral cleft lip (UCL) among the modified Millard methods, but it is still imperfect. We successfully designed a modified Mohler method based on geometric principles and observed its clinical effect. Materials and methods Photogrammetry was performed in 56 patients who underwent UCL repair with the new technique. The symmetry ratios were assessed for sn-cphi, cphi-sbal, ch-sbal, ch-cphi, and vh preoperatively and 1 week after surgery, and were also compared with values in healthy control individuals. Results Preoperatively, all distances on the cleft side were shorter to different degrees. One week after surgery, results showed well-healed wounds with full, symmetric, and continuous vermilion. On the cleft side, the sn-cphi was 6.13% longer than the non-cleft, and the others were shorter (cphi-sbal: 5.904%; ch-sbal: 1.760%; ch-cphi: 6.234%). The symmetry ratios had differences of significance between preoperative values and those 1 week after surgery (p = 0.000, respectively). Moreover, the vermilion height on the cleft side was 1.026% thicker. When compared with the matched control group, with the exception of SRcphi-sbal (p = 0.072) and SRch-sbal (p = 0.139), there were significant differences (p = 0.000, respectively). All distances in the matched control group were not absolutely symmetric. Conclusions The modified Mohler technique seems widely applicable, marking accurate, and less flexible. |
| Databáze: | OpenAIRE |
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