Abstract：
Transverse clefts of the oral cavity have significant impacts on both appearance and function. Many methods of repair have been described, but there is no consensus on optimal approach. In addition, dissatisfaction with scars, distortion of appearance, and recurrent deformity have led to complex surgical designs that are difficult to understand and reproduce. We describe a simple approach to repair that is based upon anatomic approximation of lip components and accurate repair of the muscle. Twenty patients underwent repair by the senior author, who devised the approach, and the corresponding author, who adopted it. Eight (62%) patients had right-sided clefts, three (23%) patients had left-sided clefts, and two (15%) patients had bilateral clefts. One patient had an associated branchial cleft remnant, two patients had multiple branchial cleft remnants and tragus deformities, one patient had craniofacial microsomia with microtia, and one patient had a contralateral Tessier 1 cleft. Mean age of the patients at repair was 23 months. All patients achieved normal oral competence, have favorable scars and commissure appearance, and have had no recurrent deformity. None of the patients have required revision. The described surgical approach is reproducible, easy to understand, and can produce favorable outcomes.
摘要：
口腔的横向裂缝对外观和功能都有重大影响。已经描述了许多修复方法，但是在最佳方法上没有共识。此外,对疤痕的不满，外观变形，和复发性畸形导致了复杂的外科手术设计，难以理解和复制。我们描述了一种简单的修复方法，该方法基于嘴唇成分的解剖近似和肌肉的准确修复。20名患者接受了资深作者的修复，设计这种方法的人，和通讯作者，谁收养了它。八名（62%）患者有右侧裂痕，三名（23%）患者有左侧裂痕，2例(15%)患者有双侧裂隙。一名患者有一个相关的分支裂痕，2例患者有多个分支裂痕和耳屏畸形，一名患者患有颅面小生症，一名患者有对侧Tessier1裂。修复时患者的平均年龄为23个月。所有患者均达到正常口腔功能，有良好的疤痕和连缝外观，并且没有复发性畸形。没有患者需要进行翻修。所描述的手术方法是可重复的，容易理解,并能产生有利的结果。
