Modified bilateral cleft lip repair with orbicularis reconstruction and prolabial self-elongation.
OBJECTIVE
This article describes the details of a modified method for bilateral cleft lip repair and presents some examples of patients whose condition was repaired by this technique.


METHODS
Sixty-five patients ranging in age from 2 to 5 years were treated with this modified procedure. The method was characterized by prolabial lengthening and reconstruction of the orbicularis oris muscle in one stage.


RESULTS
Satisfactory results were achieved with this method. The Cupid's bow and the central tubercle appeared more natural. None of the patients developed dehiscence of the wound.


CONCLUSIONS
This modified procedure is of special value for complete bilateral cleft lip patients with a short prolabium. The long-term effect of muscle reconstruction on maxillary growth remains to be evaluated.
Zheng
J
J
Department of Oral and Maxillofacial Surgery, Hospital of Shandong Medical University, Jinan, People's Republic of China.
Song
X
X
Zheng
P
P
Zhang
Q
Q
D002675:Child, Preschool; D002921:Cicatrix / Q000473:pathology; D002971:Cleft Lip / Q000473:pathology / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D004954:Esthetics; D005152:Facial Muscles / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000473:pathology / Q000601:surgery*; D008137:Longitudinal Studies; D008437:Maxilla / Q000254:growth & development; D009061:Mouth Mucosa / Q000601:surgery; D013524:Surgical Flaps / Q000473:pathology; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013536:Suture Techniques; D016896:Treatment Outcome