[Correction of a deformity of the upper lip after primary plastic surgery of bilateral cleft lip].Vestn Khir Im I I Grek 1988; 141(8):86-8VK
The author describes a method of reparative operation intended for bringing down the prolabium as a skin-muscle flap on two feeding vascularized pedicles with simultaneous plasty of the defect of the lining of the intermaxilla with a flap of the mucosa from the prolabium. The posterior wall of the upper lip and entrance to the mouth were formed by shifting the lateral fragments of the lip to the center. The red border defect was also eliminated at the expense of the same tissues. In order to avoid complications it is necessary not to make thinner the skin of the nose septum which was used for the elongation of prolabium and to suture the edges of the orbicular muscle of the mouth with tension. The method was used in 438 patients and gave good results.