Three-dimensional facial morphology, following primary cleft lip repair using the triangular flap with or without rotation advancement

2002 ◽  
Vol 30 (6) ◽  
pp. 337-342 ◽  
Author(s):  
Tomohiro Yamada ◽  
Yoshihide Mori ◽  
Katsuhiro Minami ◽  
Katsuaki Mishima ◽  
Toshio Sugahara
Keyword(s):  
Cleft Lip ◽  
Three Dimensional ◽  
Facial Morphology ◽  
Triangular Flap ◽  
Cleft Lip Repair ◽  
Rotation Advancement

scholarly journals Cleft Lip Repair: Technical Refinements for the Wide Cleft

2010 ◽  
Vol 3 (2) ◽  
pp. 81-86 ◽  
Author(s):  
Eric Meyer ◽  
Alan Seyfer
Keyword(s):  
Congenital Malformations ◽  
Cleft Lip ◽  
Common Type ◽  
Upper Lip ◽  
Vast Array ◽  
Triangular Flap ◽  
Aesthetic Results ◽  
Cleft Lip Repair ◽  
Rotation Advancement

Clefts of the lip and palate are among the most common congenital malformations. A unilateral deformity is the most common type of cleft, but even within this subgroup there is a great deal of variety due to the accompanying severe distortion of the upper lip, cheek, nose, and maxilla. To repair such a variety of clefts with good aesthetic results, several general incisional approaches should be mastered along with a variety of subtle techniques that improve the end product. The most common repair utilized in America is the Millard rotation-advancement technique. This is partly due to the perceived superiority in results compared with other repairs and the ease with which this repair can be taught to residents. This repair places the scar along an artificial philtral column and is often quite sufficient in small clefts. Unfortunately, adoption of this “one size fits all” approach can limit the arsenal of the surgeon facing the vast array of differing cleft lip deformities. For example, the modified triangular flap, or Tennison-Randall repair, can be of value when presented with the wider unilateral cleft lip. In an effort to not only demonstrate that excellent results can be achieved when incisional patterns (Millard and Tennison) are used appropriately (small versus large clefts), we compared the results of two types of repairs, performed by a single surgeon over a period of 30 years. In addition, a variety of subtle techniques are reviewed to assist in obtaining excellent aesthetic results for any size repair.

scholarly journals Antropometric Evaluation Of Gentur's Cheiloplasty Method In Unilateral Cleft Lip

2017 ◽  
Vol 3 (2) ◽  
pp. 52-60
Author(s):  
Rani Septrina ◽  
Gentur Sudjatmiko
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
Before And After ◽  
Cleft Lip Repair ◽  
Unilateral Cleft Lip Repair ◽  
Palate Patient ◽  
Vertical Height ◽  
Rotation Advancement

Background: Cheiloplasty, the earliest surgical procedure in cleft lip and palate patient, has impact on functional and aesthetical appearance1. The Gentur’s technique is a method of cleft lip surgery that has been developed by him and has been used in RSUPN Cipto Mangunkusumo/Faculty of Medicine Universitas Indonesia2. It uses the rotation-advancement, small triangular, preventing notching concepts with some other details to overcome the wide cleft. This study was conducted to answer whether the Gentur’s technique gives symmetrical result in anthropometric measurements. Methods: Cross sectional analytic study will be taken from medical record in 14 unilateral cleft lip patients underwent cheiloplasty procedure. Direct anthropometric data before and after procedure were analyzed using SPSS17. Anthropometric data such as cupid’s bow, vertical height, horizontal height, vermillion and nostril were noted. Results: From 14 patients, we found 9 patients who underwent surgery in 3 months of age (64.3%) are mostly female (n=9, 64.3%), have complete defect (n=12, 85.8%) and left sided defect (n=8, 57.1%). Gentur’s technique is able to produce significant lip and nose symmetry (CI 95%, pvalue <0.005) in cupid’s bow, vertical height, horizontal height, thickness of vermillion and nose. By doing this technique, the author is able to create good lip and nose symmetry (78.57%) even in wide defect (64.3%) and palatal collapse (57.1%). Conclusion: Gentur’s technique is able to utilize tissue deficiency to create ideal lip and nose in unilateral cleft lip repair even in patients with wide gap.

Three-Dimensional Analysis of Facial Morphology in Normal Japanese Children as Control Data for Cleft Surgery

2002 ◽  
Vol 39 (5) ◽  
pp. 517-526 ◽  
Author(s):  
Tomohiro Yamada ◽  
Yoshihide Mori ◽  
Katsuhiro Minami ◽  
Katsuaki Mishima ◽  
Yuichi Tsukamoto
Keyword(s):  
Gender Differences ◽  
Cleft Lip ◽  
Three Dimensional ◽  
Width Ratio ◽  
Facial Morphology ◽  
Japanese Children ◽  
Cross Sectional ◽  
Face Width ◽  
Upper Face ◽  
Normal Japanese

Objective: This study presents an analysis of three-dimensional facial forms of normal Japanese children. Design and Setting: Cross-sectional data (n = 247) were available from the Ikeda Public Health Center. Patients and Participants: Three groups of children (ninety-seven 4-month-old infants, fifty-four 1.5-year-old children, and eighty 3.5-year-old children) were analyzed using a three-dimensional anthropometric technique. Main Outcome Measures: Three-dimensional coordinates of facial landmarks were extracted automatically from XYZ data sets and photo images of an optical surface scanner. Results: Only minor gender differences were noted. Lip height was not correlated with other facial dimensions. There was a significant correlation between upper face, nose, and mouth widths. Compared with adults, the upper face width was larger (approximately 70% to 80% of adults) than the middle and lower parts of the face. Width ratios were greater than height and depth ratios. The lip height ratio, however, was larger than the lip width ratio, and the angle of the cupid's bow was more acute in children. The angle of the nose was more obtuse, particularly in the axial plane. Conclusions: In cleft lip surgery involving young children, there may be no need to consider gender differences. Some characteristic differences exist between children and adults, however, and normal standards for children would be helpful in plastic surgery.

Use of the Modified Unilateral Cleft Lip Repair Technique to Establish a Cupid’s Bow With a Natural Structure

2020 ◽  
pp. 105566562096236
Author(s):  
Tatsuya Ishigaki ◽  
Akikazu Udagawa
Keyword(s):  
Surgical Technique ◽  
Cleft Lip ◽  
Surgical Techniques ◽  
Lateral Side ◽  
Natural Structure ◽  
Repair Technique ◽  
Triangular Flap ◽  
Cleft Lip Repair ◽  
Unilateral Cleft Lip Repair ◽  
Projection Point

Introduction: There are several surgical techniques for unilateral cleft lip repair. In most of these techniques, the points where the postoperative scars cross the vermilion border are on the peak of the Cupid’s bow. These scars make the shape of Cupid’s bow indistinct. To maintain the natural shape of the Cupid’s bow, we modified the surgical technique. Methods: We modified the modified Millard’s surgical technique (Onizuka’s surgical technique). The main point of this modification was as follows: we combined a small triangular flap and a vermilion triangular flap (described by Noordhoff). We maintained the projection point on the lateral side of cleft lip which was coordinated to the peak of the Cupid’s bow. Results: We could preserve the shape and symmetry of the peak of the Cupid’s bow. Conclusion: To keep the projection point on the affected side of cleft lip and the surrounding vermilion border as one curve structure is important in maintaining the natural shape of the Cupid’s bow.

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