Tags

Type your tag names separated by a space and hit enter

Dynamic reconstruction of the philtrum using coronal muscle splitting technique in microform cleft lip.
J Craniofac Surg 2014; 25(3):742-5JC

Abstract

PURPOSE

The philtral column and dimple are especially important in patients with cleft lip. Recently, we have found that, at maximal puckering, the appearance of the philtrum worsens although the philtral column is well formed at rest. In this study, we explore the effectiveness of the coronal muscle splitting technique in a microform cleft lip through comparative analysis of the postoperative results between the control group (patients without coronal muscle splitting) and the study group (patients with coronal muscle splitting).

METHODS

Philtral reconstruction was performed in 24 patients with microform cleft lip between March 2006 and March 2010. The philtrum was reconstructed in 12 patients using the coronal muscle splitting technique and in the other 12 patients without this technique. The convexity of the philtral column and the dimpling of the philtrum were evaluated at rest and at maximal puckering through digital photographs and videos taken preoperatively and postoperatively. In addition, we compared the postoperative results between the 2 groups using the paired t-test.

RESULTS

Postoperative evaluation was done at 6 to 48 months (mean, 25 mo). There was no statistically significant difference in the shape of the philtral column and the philtral dimple between the 2 groups preoperatively (P > 0.05). Reconstruction of the philtral column in the study group rendered better results than in the control group at both rest and maximal puckering (P < 0.001 and P < 0.001). Reconstruction of the philtral dimple in the study group rendered better results than in the control group at both rest and maximal puckering (P = 0.018 and 0.035).

CONCLUSIONS

The coronal muscle splitting technique offers more esthetic and functional results in the formation of the philtral column and dimple both at rest and at maximal puckering than in the control group in cases of philtral reconstruction of the microform cleft lip.

Authors+Show Affiliations

From the *Department of Plastic and Reconstructive Surgery, Institute of Human-Environment Interface Biology, Seoul National University College of Medicine, Seoul, Republic of Korea; and †Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Osong, Republic of Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24777019

Citation

Kim, Sukwha, et al. "Dynamic Reconstruction of the Philtrum Using Coronal Muscle Splitting Technique in Microform Cleft Lip." The Journal of Craniofacial Surgery, vol. 25, no. 3, 2014, pp. 742-5.
Kim S, Kwon J, Kwon GY, et al. Dynamic reconstruction of the philtrum using coronal muscle splitting technique in microform cleft lip. J Craniofac Surg. 2014;25(3):742-5.
Kim, S., Kwon, J., Kwon, G. Y., & Choi, T. H. (2014). Dynamic reconstruction of the philtrum using coronal muscle splitting technique in microform cleft lip. The Journal of Craniofacial Surgery, 25(3), pp. 742-5. doi:10.1097/SCS.0000000000000726.
Kim S, et al. Dynamic Reconstruction of the Philtrum Using Coronal Muscle Splitting Technique in Microform Cleft Lip. J Craniofac Surg. 2014;25(3):742-5. PubMed PMID: 24777019.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dynamic reconstruction of the philtrum using coronal muscle splitting technique in microform cleft lip. AU - Kim,Sukwha, AU - Kwon,Juyong, AU - Kwon,Geun-Yong, AU - Choi,Tae Hyun, PY - 2014/4/30/entrez PY - 2014/4/30/pubmed PY - 2015/7/8/medline SP - 742 EP - 5 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 25 IS - 3 N2 - PURPOSE: The philtral column and dimple are especially important in patients with cleft lip. Recently, we have found that, at maximal puckering, the appearance of the philtrum worsens although the philtral column is well formed at rest. In this study, we explore the effectiveness of the coronal muscle splitting technique in a microform cleft lip through comparative analysis of the postoperative results between the control group (patients without coronal muscle splitting) and the study group (patients with coronal muscle splitting). METHODS: Philtral reconstruction was performed in 24 patients with microform cleft lip between March 2006 and March 2010. The philtrum was reconstructed in 12 patients using the coronal muscle splitting technique and in the other 12 patients without this technique. The convexity of the philtral column and the dimpling of the philtrum were evaluated at rest and at maximal puckering through digital photographs and videos taken preoperatively and postoperatively. In addition, we compared the postoperative results between the 2 groups using the paired t-test. RESULTS: Postoperative evaluation was done at 6 to 48 months (mean, 25 mo). There was no statistically significant difference in the shape of the philtral column and the philtral dimple between the 2 groups preoperatively (P > 0.05). Reconstruction of the philtral column in the study group rendered better results than in the control group at both rest and maximal puckering (P < 0.001 and P < 0.001). Reconstruction of the philtral dimple in the study group rendered better results than in the control group at both rest and maximal puckering (P = 0.018 and 0.035). CONCLUSIONS: The coronal muscle splitting technique offers more esthetic and functional results in the formation of the philtral column and dimple both at rest and at maximal puckering than in the control group in cases of philtral reconstruction of the microform cleft lip. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/24777019/Dynamic_reconstruction_of_the_philtrum_using_coronal_muscle_splitting_technique_in_microform_cleft_lip_ L2 - http://Insights.ovid.com/pubmed?pmid=24777019 DB - PRIME DP - Unbound Medicine ER -