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Modified design of Cupid's bow in the repair of unilateral microform cleft lip: in case of deficient distance between the midline and the cleft side Cupid's bow peak.
J Craniofac Surg 2009; 20(5):1367-9JC

Abstract

In unilateral microform cleft lip repair, when the distance from the cleft side peak of Cupid's bow to the midline is shorter than on the noncleft side, conventional cheiloplasty design results in asymmetric Cupid's bow with unnatural philtrum that is hard to correct. We modified the design of the cleft side Cupid's bow to avoid causing this secondary deformity. Twelve patients with a unilateral microform cleft lip who had a shorter cleft side from the midline to the peak of Cupid's bow distance were treated using a modified cheiloplasty design between January 1998 and December 2007. The point for the peak of Cupid's bow of the lateral segment was shifted medially to compensate for the short medial segment. The mean age of patients at the time of surgery was 48 months (range, 3 mo to 24 yr), and the follow-up period ranged from 10 to 100 months, with a mean of 33 months. A symmetric Cupid's bow with a natural-looking philtrum was achieved and maintained throughout the follow-up period in all the patients. In patients with a unilateral microform cleft lip with a shorter cleft side from the midline to the peak of Cupid's bow distance, the point for the peak of Cupid's bow of the lateral segment was shifted medially to achieve symmetric Cupid's bow. The resulting scar was more medial than in a conventional design, but the philtrum looked more natural. Longer follow-up would be required to verify the long-term results.

Authors+Show Affiliations

Department of Plastic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. kskoh@amc.seoul.krNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19816258

Citation

Koh, Kyung S., et al. "Modified Design of Cupid's Bow in the Repair of Unilateral Microform Cleft Lip: in Case of Deficient Distance Between the Midline and the Cleft Side Cupid's Bow Peak." The Journal of Craniofacial Surgery, vol. 20, no. 5, 2009, pp. 1367-9.
Koh KS, Hwang CH, Kim EK. Modified design of Cupid's bow in the repair of unilateral microform cleft lip: in case of deficient distance between the midline and the cleft side Cupid's bow peak. J Craniofac Surg. 2009;20(5):1367-9.
Koh, K. S., Hwang, C. H., & Kim, E. K. (2009). Modified design of Cupid's bow in the repair of unilateral microform cleft lip: in case of deficient distance between the midline and the cleft side Cupid's bow peak. The Journal of Craniofacial Surgery, 20(5), pp. 1367-9. doi:10.1097/SCS.0b013e3181ae42a5.
Koh KS, Hwang CH, Kim EK. Modified Design of Cupid's Bow in the Repair of Unilateral Microform Cleft Lip: in Case of Deficient Distance Between the Midline and the Cleft Side Cupid's Bow Peak. J Craniofac Surg. 2009;20(5):1367-9. PubMed PMID: 19816258.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modified design of Cupid's bow in the repair of unilateral microform cleft lip: in case of deficient distance between the midline and the cleft side Cupid's bow peak. AU - Koh,Kyung S, AU - Hwang,Chang Heon, AU - Kim,Eun Key, PY - 2009/10/10/entrez PY - 2009/10/10/pubmed PY - 2010/1/29/medline SP - 1367 EP - 9 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 20 IS - 5 N2 - In unilateral microform cleft lip repair, when the distance from the cleft side peak of Cupid's bow to the midline is shorter than on the noncleft side, conventional cheiloplasty design results in asymmetric Cupid's bow with unnatural philtrum that is hard to correct. We modified the design of the cleft side Cupid's bow to avoid causing this secondary deformity. Twelve patients with a unilateral microform cleft lip who had a shorter cleft side from the midline to the peak of Cupid's bow distance were treated using a modified cheiloplasty design between January 1998 and December 2007. The point for the peak of Cupid's bow of the lateral segment was shifted medially to compensate for the short medial segment. The mean age of patients at the time of surgery was 48 months (range, 3 mo to 24 yr), and the follow-up period ranged from 10 to 100 months, with a mean of 33 months. A symmetric Cupid's bow with a natural-looking philtrum was achieved and maintained throughout the follow-up period in all the patients. In patients with a unilateral microform cleft lip with a shorter cleft side from the midline to the peak of Cupid's bow distance, the point for the peak of Cupid's bow of the lateral segment was shifted medially to achieve symmetric Cupid's bow. The resulting scar was more medial than in a conventional design, but the philtrum looked more natural. Longer follow-up would be required to verify the long-term results. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/19816258/Modified_design_of_Cupid's_bow_in_the_repair_of_unilateral_microform_cleft_lip:_in_case_of_deficient_distance_between_the_midline_and_the_cleft_side_Cupid's_bow_peak_ L2 - http://Insights.ovid.com/pubmed?pmid=19816258 DB - PRIME DP - Unbound Medicine ER -