Tags

Type your tag names separated by a space and hit enter

Median cleft of the lower lip: report of two new cases and review of the literature.
Ann Otol Rhinol Laryngol. 2002 Mar; 111(3 Pt 1):217-21.AO

Abstract

Median clefts of the lower lip and mandible are rare craniofacial clefts. Couronné in 1819 was the first to describe the condition. The midline cleft of the lower lip was classified by Tessier as a type 30 craniofacial cleft. Recently, the total number of the reported cases had increased to about 66 in the world literature. In addition, 2 more patients are presented here. The first case involves only a small notch in the vermilion; the deformity was treated by Z-plasty. In the second case, a midline incomplete cleft of the lower lip, a sublingual abnormal frenulum, a complete cleft in the mandible, a bifid sternum, a presternal skin tag, and a ventricular septal defect in the heart were present. At operation, Z-plasty of the lingual frenulum released the normal-sized tongue. The lip cleft was corrected by a simple V excision followed by closure in 3 layers. The mandibular segments were "vitalized" with a bone rongeur and immobilized in the predetermined position with an interosseous stainless steel wire. Because the bone fusion was complete, the stainless steel wire was taken out after 3 months so that it would not prevent mandibular development. Our treatment methods and others are discussed.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Ankara Numune Hospital, Turkey.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

11913681

Citation

Seyhan, Tamer, and Hýdýrç Kýlýnr. "Median Cleft of the Lower Lip: Report of Two New Cases and Review of the Literature." The Annals of Otology, Rhinology, and Laryngology, vol. 111, no. 3 Pt 1, 2002, pp. 217-21.
Seyhan T, Kýlýnr H. Median cleft of the lower lip: report of two new cases and review of the literature. Ann Otol Rhinol Laryngol. 2002;111(3 Pt 1):217-21.
Seyhan, T., & Kýlýnr, H. (2002). Median cleft of the lower lip: report of two new cases and review of the literature. The Annals of Otology, Rhinology, and Laryngology, 111(3 Pt 1), 217-21.
Seyhan T, Kýlýnr H. Median Cleft of the Lower Lip: Report of Two New Cases and Review of the Literature. Ann Otol Rhinol Laryngol. 2002;111(3 Pt 1):217-21. PubMed PMID: 11913681.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Median cleft of the lower lip: report of two new cases and review of the literature. AU - Seyhan,Tamer, AU - Kýlýnr,Hýdýrç, PY - 2002/3/27/pubmed PY - 2002/4/10/medline PY - 2002/3/27/entrez SP - 217 EP - 21 JF - The Annals of otology, rhinology, and laryngology JO - Ann Otol Rhinol Laryngol VL - 111 IS - 3 Pt 1 N2 - Median clefts of the lower lip and mandible are rare craniofacial clefts. Couronné in 1819 was the first to describe the condition. The midline cleft of the lower lip was classified by Tessier as a type 30 craniofacial cleft. Recently, the total number of the reported cases had increased to about 66 in the world literature. In addition, 2 more patients are presented here. The first case involves only a small notch in the vermilion; the deformity was treated by Z-plasty. In the second case, a midline incomplete cleft of the lower lip, a sublingual abnormal frenulum, a complete cleft in the mandible, a bifid sternum, a presternal skin tag, and a ventricular septal defect in the heart were present. At operation, Z-plasty of the lingual frenulum released the normal-sized tongue. The lip cleft was corrected by a simple V excision followed by closure in 3 layers. The mandibular segments were "vitalized" with a bone rongeur and immobilized in the predetermined position with an interosseous stainless steel wire. Because the bone fusion was complete, the stainless steel wire was taken out after 3 months so that it would not prevent mandibular development. Our treatment methods and others are discussed. SN - 0003-4894 UR - https://www.unboundmedicine.com/medline/citation/11913681/Median_cleft_of_the_lower_lip:_report_of_two_new_cases_and_review_of_the_literature_ L2 - https://journals.sagepub.com/doi/10.1177/000348940211100305?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -