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Microform cleft lip repair with intraoral muscle interdigitation.
Ann Plast Surg 2009; 62(6):640-4AP

Abstract

BACKGROUND

With a microform (forme fruste) cleft lip, obtaining an optimal functional and esthetic result is a challenge to a reconstructive surgeon. We describe modifications to existing techniques by Mulliken, Furlow, and Cutting that provides an optimal functional result with correction of the cleft furrow, vermillion notch, and cleft nose deformity.

METHODS

Sequential unilateral microform cleft lip patients underwent our microform cleft lip repair modified from the following 3 techniques: the Mulliken microform cleft lip repair with no cutaneous scar, the Furlow complete cleft lip repair with interdigitating muscle, and the Cutting cleft nose repair (n = 12). From follow-up (1 year) examinations, photographs (and 3-dimensional images), and video, 3 reviewers scored esthetic and functional outcomes using a 0 to 4-point scale. In addition, parental surveys were obtained.

RESULTS

For our microform cleft lip repair, there were no infections, bleeding, or other complications. Esthetic outcome score, evaluating the cutaneous scar, symmetry of philtral columns, alignment of lip line and vermillion border, and nasal tip symmetry was a mean of 3.7 (+/-0.3). Thus, the reviewers' scored the cleft lip and nose repair as "Very Good" (minor cleft lip/nose deformity but no need for revision) to "Excellent" (Imperceptible cleft lip or nose deformity). The functional outcome score, based on the ability to smile, pucker their lips, and whistle, was a mean of 3.8 (+/-0.2). The parental survey, including postoperative course, functional, and cosmetic outcome, demonstrated a high level of satisfaction with a score of 3.9 (+/-0.2).

CONCLUSIONS

The modified microform cleft lip and nose technique provided very good to excellent esthetic and functional results in a series of patients with this rare deformity.

Authors+Show Affiliations

Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine at University of California, Los Angeles, CA 90095-6960, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19461277

Citation

Desrosiers, Arthur E., et al. "Microform Cleft Lip Repair With Intraoral Muscle Interdigitation." Annals of Plastic Surgery, vol. 62, no. 6, 2009, pp. 640-4.
Desrosiers AE, Kawamoto HK, Katchikian HV, et al. Microform cleft lip repair with intraoral muscle interdigitation. Ann Plast Surg. 2009;62(6):640-4.
Desrosiers, A. E., Kawamoto, H. K., Katchikian, H. V., Jarrahy, R., & Bradley, J. P. (2009). Microform cleft lip repair with intraoral muscle interdigitation. Annals of Plastic Surgery, 62(6), pp. 640-4. doi:10.1097/SAP.0b013e318180c8fa.
Desrosiers AE, et al. Microform Cleft Lip Repair With Intraoral Muscle Interdigitation. Ann Plast Surg. 2009;62(6):640-4. PubMed PMID: 19461277.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Microform cleft lip repair with intraoral muscle interdigitation. AU - Desrosiers,Arthur E,3rd AU - Kawamoto,Henry K, AU - Katchikian,Hurig V, AU - Jarrahy,Reza, AU - Bradley,James P, PY - 2009/5/23/entrez PY - 2009/5/23/pubmed PY - 2009/6/3/medline SP - 640 EP - 4 JF - Annals of plastic surgery JO - Ann Plast Surg VL - 62 IS - 6 N2 - BACKGROUND: With a microform (forme fruste) cleft lip, obtaining an optimal functional and esthetic result is a challenge to a reconstructive surgeon. We describe modifications to existing techniques by Mulliken, Furlow, and Cutting that provides an optimal functional result with correction of the cleft furrow, vermillion notch, and cleft nose deformity. METHODS: Sequential unilateral microform cleft lip patients underwent our microform cleft lip repair modified from the following 3 techniques: the Mulliken microform cleft lip repair with no cutaneous scar, the Furlow complete cleft lip repair with interdigitating muscle, and the Cutting cleft nose repair (n = 12). From follow-up (1 year) examinations, photographs (and 3-dimensional images), and video, 3 reviewers scored esthetic and functional outcomes using a 0 to 4-point scale. In addition, parental surveys were obtained. RESULTS: For our microform cleft lip repair, there were no infections, bleeding, or other complications. Esthetic outcome score, evaluating the cutaneous scar, symmetry of philtral columns, alignment of lip line and vermillion border, and nasal tip symmetry was a mean of 3.7 (+/-0.3). Thus, the reviewers' scored the cleft lip and nose repair as "Very Good" (minor cleft lip/nose deformity but no need for revision) to "Excellent" (Imperceptible cleft lip or nose deformity). The functional outcome score, based on the ability to smile, pucker their lips, and whistle, was a mean of 3.8 (+/-0.2). The parental survey, including postoperative course, functional, and cosmetic outcome, demonstrated a high level of satisfaction with a score of 3.9 (+/-0.2). CONCLUSIONS: The modified microform cleft lip and nose technique provided very good to excellent esthetic and functional results in a series of patients with this rare deformity. SN - 1536-3708 UR - https://www.unboundmedicine.com/medline/citation/19461277/Microform_cleft_lip_repair_with_intraoral_muscle_interdigitation_ L2 - http://Insights.ovid.com/pubmed?pmid=19461277 DB - PRIME DP - Unbound Medicine ER -