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Unfavourable results in the repair of the cleft lip.
Indian J Plast Surg. 2013 May; 46(2):171-82.IJ

Abstract

INTRODUCTION

Unfavorable results in unilateral and bilateral cleft lip repair are often easy to spot but not always easy to prevent as to treat. We have tried to deal with the more common problems and explain possible causes and the best possible management options from our experience.

UNILATERAL CLEFT LIP REPAIR

Unfavorable results immediately after repair involve Dehiscence and Scaring. Delayed blemishes include vermillion notching, a short lip, deficiency in the height of the lateral vermillion on the cleft side, white roll malalignment, oro-vestibular fistula, the cleft lip nose deformity, a narrow nostril and a "high-riding" nostril. We analyze the causes of these blemishes and outline our views regarding the treatment of these.

BILATERAL CLEFT LIP

Immediate problems again include dehiscence as also loss of prolabium or premaxilla. Delayed unfavorable results are central vermillion deficiency, a lip that is too tight, bilateral cleft lip nose deformity, problems with the premaxilla and maxillary growth disturbances. Here again we discuss the causation of these problems and our preferred methods of treatment.

CONCLUSION

We have detailed the significant unfavorable results after unilateral and bilateral cleft lip surgery. The methods of treatment advocated have been layer from our own experience.

Authors+Show Affiliations

Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research Institute, Trichur, Kerala, India.Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research Institute, Trichur, Kerala, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24501453

Citation

Narayanan, Puthucode V., and Hirji Sorab Adenwalla. "Unfavourable Results in the Repair of the Cleft Lip." Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, vol. 46, no. 2, 2013, pp. 171-82.
Narayanan PV, Adenwalla HS. Unfavourable results in the repair of the cleft lip. Indian J Plast Surg. 2013;46(2):171-82.
Narayanan, P. V., & Adenwalla, H. S. (2013). Unfavourable results in the repair of the cleft lip. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, 46(2), 171-82. https://doi.org/10.4103/0970-0358.118591
Narayanan PV, Adenwalla HS. Unfavourable Results in the Repair of the Cleft Lip. Indian J Plast Surg. 2013;46(2):171-82. PubMed PMID: 24501453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unfavourable results in the repair of the cleft lip. AU - Narayanan,Puthucode V, AU - Adenwalla,Hirji Sorab, PY - 2014/2/7/entrez PY - 2014/2/7/pubmed PY - 2014/2/7/medline KW - Cleft lip nose KW - contractures KW - high riding nostrils KW - scarring KW - unfavourable results KW - vermillion deficiency SP - 171 EP - 82 JF - Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India JO - Indian J Plast Surg VL - 46 IS - 2 N2 - INTRODUCTION: Unfavorable results in unilateral and bilateral cleft lip repair are often easy to spot but not always easy to prevent as to treat. We have tried to deal with the more common problems and explain possible causes and the best possible management options from our experience. UNILATERAL CLEFT LIP REPAIR: Unfavorable results immediately after repair involve Dehiscence and Scaring. Delayed blemishes include vermillion notching, a short lip, deficiency in the height of the lateral vermillion on the cleft side, white roll malalignment, oro-vestibular fistula, the cleft lip nose deformity, a narrow nostril and a "high-riding" nostril. We analyze the causes of these blemishes and outline our views regarding the treatment of these. BILATERAL CLEFT LIP: Immediate problems again include dehiscence as also loss of prolabium or premaxilla. Delayed unfavorable results are central vermillion deficiency, a lip that is too tight, bilateral cleft lip nose deformity, problems with the premaxilla and maxillary growth disturbances. Here again we discuss the causation of these problems and our preferred methods of treatment. CONCLUSION: We have detailed the significant unfavorable results after unilateral and bilateral cleft lip surgery. The methods of treatment advocated have been layer from our own experience. SN - 0970-0358 UR - https://www.unboundmedicine.com/medline/citation/24501453/Unfavourable_results_in_the_repair_of_the_cleft_lip_ L2 - http://www.thieme-connect.com/DOI/DOI?10.4103/0970-0358.118591 DB - PRIME DP - Unbound Medicine ER -
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