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Clinical investigation for bilateral cleft lip repair: modified functional bilateral cleft lip cheilorrhaphy.
J Oral Maxillofac Surg 2008; 66(1):21-8JO

Abstract

PURPOSE

To obtain better operative results, a modified functional bilateral cleft lip (BCL) cheilorrhaphy was designed and used on 131 BCL patients to evaluate the clinical effectiveness in this clinical investigation. A new surgical method would be provided for BCL patients.

PATIENTS AND METHODS

Based on the experiences and advantages of the commonly used self-longation and elongation surgical methods for BCL repair, a new surgical method was designed for BCL patients. During the operation, this modified functional BCL cheilorrhaphy emphasized the operative design, anatomy and reposition of musculus orbicularis orbis, management of the maxilla, and reparation of vermilion of the lip. This method was used to repair 131 BCL patients, and the conditions and results of errhysis, swelling, and healing of tresis vulnus were observed and evaluated.

RESULTS

This modified functional BCL cheilorrhaphy was used successfully from January 2002 to July 2005 on 131 BCL patients. The wounds of all patients with BCL who joined this study healed very well without any hematoma, infection, or wound decohesion. All of the patients showed symmetric peak of Cupid's bow, obvious philtrum notch, full vermilion of the lip, little scarring, and satisfactory contour. During functional activity, bilateral upper lip was symmetric, coordinated, and balanced.

CONCLUSIONS

The clinical results showed that modified functional BCL cheilorrhaphy may be accepted as a good selective surgical technique for BCL patients, and is worth generalization and application.

Authors+Show Affiliations

Center of Cleft Lip and Palate, Children's Hospital, and Department of Oral and Maxillofacial Surgery, School of Stomatology, Chongqing Medical University, Chongqing, China.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18083411

Citation

Li, Wan-Shan, et al. "Clinical Investigation for Bilateral Cleft Lip Repair: Modified Functional Bilateral Cleft Lip Cheilorrhaphy." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 66, no. 1, 2008, pp. 21-8.
Li WS, Dai JB, Li YG, et al. Clinical investigation for bilateral cleft lip repair: modified functional bilateral cleft lip cheilorrhaphy. J Oral Maxillofac Surg. 2008;66(1):21-8.
Li, W. S., Dai, J. B., Li, Y. G., & Wei, S. C. (2008). Clinical investigation for bilateral cleft lip repair: modified functional bilateral cleft lip cheilorrhaphy. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 66(1), pp. 21-8.
Li WS, et al. Clinical Investigation for Bilateral Cleft Lip Repair: Modified Functional Bilateral Cleft Lip Cheilorrhaphy. J Oral Maxillofac Surg. 2008;66(1):21-8. PubMed PMID: 18083411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical investigation for bilateral cleft lip repair: modified functional bilateral cleft lip cheilorrhaphy. AU - Li,Wan-Shan, AU - Dai,Jing-Bo, AU - Li,Yuan-Gui, AU - Wei,Shi-Cheng, PY - 2006/06/24/received PY - 2006/10/23/revised PY - 2007/05/31/accepted PY - 2007/12/18/pubmed PY - 2008/1/5/medline PY - 2007/12/18/entrez SP - 21 EP - 8 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J. Oral Maxillofac. Surg. VL - 66 IS - 1 N2 - PURPOSE: To obtain better operative results, a modified functional bilateral cleft lip (BCL) cheilorrhaphy was designed and used on 131 BCL patients to evaluate the clinical effectiveness in this clinical investigation. A new surgical method would be provided for BCL patients. PATIENTS AND METHODS: Based on the experiences and advantages of the commonly used self-longation and elongation surgical methods for BCL repair, a new surgical method was designed for BCL patients. During the operation, this modified functional BCL cheilorrhaphy emphasized the operative design, anatomy and reposition of musculus orbicularis orbis, management of the maxilla, and reparation of vermilion of the lip. This method was used to repair 131 BCL patients, and the conditions and results of errhysis, swelling, and healing of tresis vulnus were observed and evaluated. RESULTS: This modified functional BCL cheilorrhaphy was used successfully from January 2002 to July 2005 on 131 BCL patients. The wounds of all patients with BCL who joined this study healed very well without any hematoma, infection, or wound decohesion. All of the patients showed symmetric peak of Cupid's bow, obvious philtrum notch, full vermilion of the lip, little scarring, and satisfactory contour. During functional activity, bilateral upper lip was symmetric, coordinated, and balanced. CONCLUSIONS: The clinical results showed that modified functional BCL cheilorrhaphy may be accepted as a good selective surgical technique for BCL patients, and is worth generalization and application. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/18083411/Clinical_investigation_for_bilateral_cleft_lip_repair:_modified_functional_bilateral_cleft_lip_cheilorrhaphy_ DB - PRIME DP - Unbound Medicine ER -