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Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping with a Minimal Skin Incision.
Arch Plast Surg 2017; 44(3):210-216AP

Abstract

BACKGROUND

In treating minor-form or microform cleft lip, obtaining an optimal result is a challenge because of the visible scarring caused by traditional surgery. We present a refined method using muscle overlapping with a minimal skin incision in patients younger than 3 years, a group characterized by thin muscle.

METHODS

The surgical technique involves restoration of the notched vermillion using Z-plasty, formation of the philtral column using overlapping of an orbicularis oris muscle flap through an intraoral incision, and correction of the cleft lip nasal deformity using a reverse-U incision and V-Y plasty. A single radiologist evaluated ultrasonographic images of the upper lip.

RESULTS

Sixty patients were treated between September 2008 and June 2014. The age at the time of operation ranged from 6 to 36 months (mean, 26 months). The follow-up period ranged from 8 to 38 months (mean, 20 months) in minor-form cases and from 14 to 64 months (mean, 37 months) in microform cases. A notched cupid's bow was corrected in 10 minor-form cases and 50 microform cases. Ultrasonographic images were obtained from 3 patients with minor-form cleft lip and 9 patients with microform cleft lip 12 months after surgery. The average muscle thickness was 4.5 mm on the affected side and 4.1 mm on the unaffected side.

CONCLUSIONS

The advantages of the proposed procedure include the creation of an anatomically natural philtrum with minimal scarring. This method also preserves the continuity and function of the muscle and provides sufficient augmentation of the philtral column and nostril sill.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.BL Plastic Surgery Clinic, Daegu, Korea.Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28573095

Citation

Kim, Min Chul, et al. "Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping With a Minimal Skin Incision." Archives of Plastic Surgery, vol. 44, no. 3, 2017, pp. 210-216.
Kim MC, Choi DH, Bae SG, et al. Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping with a Minimal Skin Incision. Arch Plast Surg. 2017;44(3):210-216.
Kim, M. C., Choi, D. H., Bae, S. G., & Cho, B. C. (2017). Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping with a Minimal Skin Incision. Archives of Plastic Surgery, 44(3), pp. 210-216. doi:10.5999/aps.2017.44.3.210.
Kim MC, et al. Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping With a Minimal Skin Incision. Arch Plast Surg. 2017;44(3):210-216. PubMed PMID: 28573095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correction of Minor-Form and Microform Cleft Lip Using Modified Muscle Overlapping with a Minimal Skin Incision. AU - Kim,Min Chul, AU - Choi,Dong Hun, AU - Bae,Sung Gun, AU - Cho,Byung Chae, Y1 - 2017/05/22/ PY - 2017/03/29/received PY - 2017/05/10/revised PY - 2017/05/10/accepted PY - 2017/6/3/entrez PY - 2017/6/3/pubmed PY - 2017/6/3/medline KW - Cicatrix KW - Cleft lip KW - Surgical flaps SP - 210 EP - 216 JF - Archives of plastic surgery JO - Arch Plast Surg VL - 44 IS - 3 N2 - BACKGROUND: In treating minor-form or microform cleft lip, obtaining an optimal result is a challenge because of the visible scarring caused by traditional surgery. We present a refined method using muscle overlapping with a minimal skin incision in patients younger than 3 years, a group characterized by thin muscle. METHODS: The surgical technique involves restoration of the notched vermillion using Z-plasty, formation of the philtral column using overlapping of an orbicularis oris muscle flap through an intraoral incision, and correction of the cleft lip nasal deformity using a reverse-U incision and V-Y plasty. A single radiologist evaluated ultrasonographic images of the upper lip. RESULTS: Sixty patients were treated between September 2008 and June 2014. The age at the time of operation ranged from 6 to 36 months (mean, 26 months). The follow-up period ranged from 8 to 38 months (mean, 20 months) in minor-form cases and from 14 to 64 months (mean, 37 months) in microform cases. A notched cupid's bow was corrected in 10 minor-form cases and 50 microform cases. Ultrasonographic images were obtained from 3 patients with minor-form cleft lip and 9 patients with microform cleft lip 12 months after surgery. The average muscle thickness was 4.5 mm on the affected side and 4.1 mm on the unaffected side. CONCLUSIONS: The advantages of the proposed procedure include the creation of an anatomically natural philtrum with minimal scarring. This method also preserves the continuity and function of the muscle and provides sufficient augmentation of the philtral column and nostril sill. SN - 2234-6163 UR - https://www.unboundmedicine.com/medline/citation/28573095/Correction_of_Minor_Form_and_Microform_Cleft_Lip_Using_Modified_Muscle_Overlapping_with_a_Minimal_Skin_Incision_ L2 - http://e-aps.org/journal/view.php?doi=10.5999/aps.2017.44.3.210 DB - PRIME DP - Unbound Medicine ER -