Midline cleft of upper lip: Review and surgical repair

2014 ◽  
Vol 67 (7) ◽  
pp. 1002-1003 ◽  
Author(s):  
Gaurav Deshpande ◽  
Alex Campbell ◽  
Rasika Jagtap ◽  
Carolina Restrepo
Keyword(s):  
Surgical Repair ◽  
Upper Lip ◽  
Midline Cleft

scholarly journals Anatomic landmark approach to reconstruction of asymmetric midline cleft lip due to Pai syndrome

2020 ◽  
Vol 47 (5) ◽  
pp. 483-486
Author(s):  
Danielle L. Sobol ◽  
Benjamin B. Massenburg ◽  
Raymond W. Tse
Keyword(s):  
Surgical Outcome ◽  
Cleft Lip ◽  
Surgical Repair ◽  
Upper Lip ◽  
Anatomic Landmarks ◽  
First Report ◽  
Anatomic Landmark ◽  
Methodical Approach ◽  
Midline Cleft

Midline clefts of the upper lip are rare, and it is therefore important that surgeons have access to a methodical approach for when these presentations are encountered. We adapted principles of the anatomic subunit approximation for unilateral cleft lip, to the repair of midline clefts. The overt use of anatomic landmarks to define the repair results in a design that inherently adjusts to varying degrees of clefts and can accommodate asymmetries. The “measure twice, cut once” style is an advantage to new surgeons and to surgeons who seldom encounter this presentation. We describe the details of surgical repair in the context of a patient with Pai syndrome and associated nasal hamartomas that resulted in nasolabial asymmetry. This is the first report of surgical outcome following treatment of Pai syndrome and includes early and 5-year follow-up. The system of repair that we describe is applicable to both symmetric and asymmetric midline clefts.

scholarly journals Median cleft lip: A new method of surgical repair

2010 ◽  
Vol 43 (01) ◽  
pp. 111-113
Author(s):  
B. V. Khandekar ◽  
S. Srinivasan ◽  
N. J. Mokal
Keyword(s):  
Cleft Lip ◽  
Surgical Repair ◽  
New Method ◽  
Muscle Repair ◽  
Median Cleft ◽  
Midline Cleft

ABSTRACTThe aim is to discuss a new method of muscle repair in midline cleft lip. Three patients with midline cleft lip were repaired with our technique of muscle repair and the results evaluated. Our new method of muscle repair in the form of ‘Z’ helps in forming the philtral dimple.

scholarly journals A Rare Case of a Combination of Tessier Cleft 0 and 3 in a 4-Year-Old Child—A Case Report

2019 ◽  
Vol 52 (02) ◽  
pp. 250-251
Author(s):  
Bibhuti Bhusan Nayak ◽  
M. Lopamudra
Keyword(s):  
Rare Case ◽  
Upper Lip ◽  
Successful Management ◽  
Transposition Flap ◽  
Satisfactory Outcome ◽  
Straight Line ◽  
Median Cleft ◽  
Median Cleft Face Syndrome ◽  
Midline Cleft ◽  
Rule Out

AbstractDescription and successful management of a patient with Tessier no. 0 and 3 facial cleft is being presented. Appropriate evaluation was done to rule out the presence of median cleft face syndrome. Lip cleft was repaired by straight line technique with staggering at the vermilion border. Nasal cleft was reconstructed by a transposition flap and the flap taken from the upper lip after correction of the midline cleft. Satisfactory outcome was achieved for this singular deformity by conforming to the basic tenets of plastic surgery.

Surgical repair of a median cleft of the upper lip

1994 ◽  
Vol 52 (11) ◽  
pp. 1217-1219 ◽  
Author(s):  
William J. Starck ◽  
Bruce N. Epker
Keyword(s):  
Surgical Repair ◽  
Upper Lip ◽  
Median Cleft

Median Cleft of the Lip: Its Significance and Surgical Repair

1993 ◽  
Vol 30 (1) ◽  
pp. 94-96 ◽  
Author(s):  
James Apesos ◽  
Gregg M. Anigian
Keyword(s):  
Surgical Technique ◽  
Cleft Lip ◽  
Surgical Repair ◽  
Surgical Reconstruction ◽  
Upper Lip ◽  
Facial Cleft ◽  
Median Cleft ◽  
Median Facial Cleft Syndrome ◽  
Associated Abnormalities

Median cleft lip is a midline vertical cleft through the upper lip in the absence of a prolabial remnant. This may occur as a sporadic event or be part of an inherited sequence of anomalies. A failure of formation or fusion of the medial nasal prominences derived from the frontonasal prominence is ultimately responsible for this aberration. Two categories of dysplasia are associated: (1) frontonasal deformity associated with hypotelorism and (2) median facial cleft syndrome associated with hypertelorism. A patient presents with median cleft lip, mild bifid nose, and hypertelorism. Following surgical reconstruction, a good result is achieved. The embryology, implications for associated abnormalities, and surgical technique for treating these cases are discussed.

scholarly journals Median cleft lip: an uncommon and unique anomaly

2019 ◽  
Vol 6 (8) ◽  
pp. 3035
Author(s):  
Vivek Parameswara Sarma
Keyword(s):  
Central Nervous System ◽  
Nasal Septum ◽  
Cleft Lip ◽  
Relevant Literature ◽  
Upper Lip ◽  
Craniofacial Malformations ◽  
Median Cleft ◽  
The Central Nervous System ◽  
Associated Abnormalities ◽  
Midline Cleft

Median or midline cleft lip [MCL] is an uncommon anomaly characterized by a midline vertical cleft through the upper lip and are either isolated or part of multiple anomalies. It can involve the pre-maxilla, the nasal septum, and the central nervous system. MCL includes Complete (42%), Incomplete (49%), and Minor forms (9%). The three main groups distinguished were: 1. Isolated MCL; 2. MCL with craniofacial malformations; and 3. MCL with extra-facial malformations. To analyze two operated cases of median cleft lip and review the relevant literature. The details of two cases of median cleft lip that were operated in 2017 were analysed. Both cases underwent wedge excision with the classical inverted V incision and muscle reconstruction with satisfactory result. Both the patients had no syndromic association or associated anomaly. All cases of MCL require evaluation for associated abnormalities. Isolated MCL can be repaired surgically with a good outcome. 

Correction of whistle deformity secondary to cleft lip repair by V-Y plasty: a simple and effective technique

2021 ◽  
Vol 14 (12) ◽  
pp. e246303
Author(s):  
H Hari Kishore Bhat ◽  
Varsha Haridas Upadya
Keyword(s):  
Local Anaesthesia ◽  
Cleft Lip ◽  
Surgical Repair ◽  
Effective Procedure ◽  
Muscle Repair ◽  
Upper Lip ◽  
Effective Technique ◽  
Outpatient Procedure ◽  
Surgical Options ◽  
Cleft Lip Repair

Several techniques are available for the surgical repair of the cleft lip, however, avoiding secondary deformities and achieving consistent results remains a challenge. The whistle deformity is a secondary lip deformity characterised by inadequate fullness of the central upper lip with abnormal exposure of the central incisors when the lips are at rest, giving a whistling appearance. The causes include scarring of the vermilion and failure to restore the mucosal or muscular continuity. Various surgical options are available ranging from simple procedures like V-Y plasty and Z-plasty to complex procedures like complete lip redo, locoregional flaps, fillers and grafts. V-Y plasty is a simple, effective procedure for lip lengthening that can be performed under local anaesthesia as an outpatient procedure. It is less technique sensitive and also allows for some degree of muscle repair. We present a case of whistle deformity satisfactorily corrected with V-Y plasty.

Acute pancreatitis in children with idiopathic vs neuromuscular scoliosis post surgical repair

2001 ◽  
Vol 120 (5) ◽  
pp. A643-A644 ◽  
Author(s):  
D MEHTA ◽  
C FESTA ◽  
K DABNEY ◽  
M THEROUX ◽  
F MILLER
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Repair ◽  
Neuromuscular Scoliosis
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