The modified Z-plasty for unilateral cleft lip repair.
In 1965 Davies described a Z-plasty technique for the repair of a unilateral cleft lip. The technique has been modified so that the scars are more aesthetically placed and the orbicularis muscle correctly aligned. A prospective study was performed comparing the results of this modified Z-plasty with the rotation advancement repair. Twelve patients had a modified Z-plasty and 10 a rotation advancement repair. The modified Z-plasty compares favourably with the rotation advancement technique for the repair of a unilateral cleft lip. In particular, the incidence of asymmetry of lip height was greater in the rotation advancement group.
Fernandes
D B
DB
Department of Plastic Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Hudson
D A
DA
D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D013524:Surgical Flaps / Q000379:methods*