Objective To explore a simple and reliable method to decrease tension of the nasal floor and guarantee closure of the nasal floor in the treatment of unilateral complete cleft lip.Methods Two mucosal flaps were made at the lip margin to close the nasal floor with little tension,and vestibular oronasal fistula as well.Results Total 37 patients showed healing by first intention at the incision site without obvious scar,good closure at the nasal floor,and fullness of nasal sill and floor.Conclusion Mucosal flaps at lip margin can repair nasal floor defect effectively in unilateral complete cleft lip.

1997年12月以来,我们共对25例小儿尿道下裂应用Duckett法修复,取得满意疗效. 1 临床资料 本组25例,年龄2～5岁.其中冠状沟型7例,阴茎体型16例,阴茎阴囊型2例.所有患儿均存在不同程度阴茎下弯畸形,治疗均采用Duckett法修复.手术尽可能以显微外科无创技术操作,以保证皮瓣的良好血供及避免局部血肿的发生.新、旧尿道采用斜口形缝合以预防术后瘢痕挛缩致尿道狭窄.留置导尿管于术后10天拔除,以后定期行尿道扩张.本组22例一期修复成功,3例术后出现尿瘘,经再次修补后亦痊愈.术后随访所有患儿阴茎下弯全部矫正,尿道外口正位,排尿尿线粗,无尿道狭窄发生,疗效满意.