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Repair of the unilateral cleft lip/nose deformity.
Facial Plast Surg 2003; 19(1):29-40FP

Abstract

Successful surgical repair of the unilateral cleft lip and nose deformity, defined as normal orbicularis oris function and near-perfect symmetry of the repaired lip and nose, demands that the surgeon possess complete understanding of the embryology and anatomy of the midfacial defects. The surgical approach to repair of the unilateral cleft lip/nose should place great emphasis on achieving symmetry, not only with the lip segments but also perhaps even more importantly with the nasal tip. The reconstruction should recreate an intact fully functional orbicularis oris muscle across the cleft and camouflage the scar optimally. We have found that modification of the Millard rotation-advancement flap technique, with particular attention to the primary nasal repair, provides the best outcomes. In patients who have undergone primary repair of the lip and/or nose deformity, secondary rhinoplasty is generally required, regardless of the technique used at the primary repair. The degree of nasal deformity, however, is less severe following primary repair of the asymmetric nasal tip. We have found that the sliding flap cheliorhinoplasty, Wang's modification of the Vissarionov technique, provides excellent results for most secondary cleft rhinoplasties.

Authors+Show Affiliations

Department of Otolaryngology/Head and Neck Surgery, Medical University of South Carolina, Charleston 29401, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12739180

Citation

Clark, J Madison, et al. "Repair of the Unilateral Cleft Lip/nose Deformity." Facial Plastic Surgery : FPS, vol. 19, no. 1, 2003, pp. 29-40.
Clark JM, Skoner JM, Wang TD. Repair of the unilateral cleft lip/nose deformity. Facial Plast Surg. 2003;19(1):29-40.
Clark, J. M., Skoner, J. M., & Wang, T. D. (2003). Repair of the unilateral cleft lip/nose deformity. Facial Plastic Surgery : FPS, 19(1), pp. 29-40.
Clark JM, Skoner JM, Wang TD. Repair of the Unilateral Cleft Lip/nose Deformity. Facial Plast Surg. 2003;19(1):29-40. PubMed PMID: 12739180.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Repair of the unilateral cleft lip/nose deformity. AU - Clark,J Madison, AU - Skoner,Judith M, AU - Wang,Tom D, PY - 2003/5/10/pubmed PY - 2003/7/17/medline PY - 2003/5/10/entrez SP - 29 EP - 40 JF - Facial plastic surgery : FPS JO - Facial Plast Surg VL - 19 IS - 1 N2 - Successful surgical repair of the unilateral cleft lip and nose deformity, defined as normal orbicularis oris function and near-perfect symmetry of the repaired lip and nose, demands that the surgeon possess complete understanding of the embryology and anatomy of the midfacial defects. The surgical approach to repair of the unilateral cleft lip/nose should place great emphasis on achieving symmetry, not only with the lip segments but also perhaps even more importantly with the nasal tip. The reconstruction should recreate an intact fully functional orbicularis oris muscle across the cleft and camouflage the scar optimally. We have found that modification of the Millard rotation-advancement flap technique, with particular attention to the primary nasal repair, provides the best outcomes. In patients who have undergone primary repair of the lip and/or nose deformity, secondary rhinoplasty is generally required, regardless of the technique used at the primary repair. The degree of nasal deformity, however, is less severe following primary repair of the asymmetric nasal tip. We have found that the sliding flap cheliorhinoplasty, Wang's modification of the Vissarionov technique, provides excellent results for most secondary cleft rhinoplasties. SN - 0736-6825 UR - https://www.unboundmedicine.com/medline/citation/12739180/Repair_of_the_unilateral_cleft_lip/nose_deformity_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2003-39134 DB - PRIME DP - Unbound Medicine ER -