A geometrically sound technique of vermilion repair in unilateral cleft lip.
In unilateral cleft lip, there is always a deficiency of vermilion on the medial side of the cleft, which can be augmented by techniques using excess vermilion from the lateral side of the cleft, like the use of a simple V-advancement flap. We developed a modification of Noordhoff's lateral vermilion flap that preserves the parallel relationship of the muco-vermilion line and the white roll but improves results in unilateral cleft lip patients. In a study of 30 patients undergoing surgical repair of complete unilateral cleft lip, we found that this method offers a superior alternative to the straight-line repair. This geometrically sound technique for vermilion reconstruction offers the cleft surgeon a simple and effective method for augmenting total lip height and creating a normal appearing Cupid's bow.
Powar
Rajesh S
RS
Department of Plastic and Reconstructive Surgery, KLE Society Hospital and Medical Research Centre, Nehru Nagar, Belgaum 590 010, Karnataka, India. dr_rajeshp@rediffmail.com
M Patil
Sandeep
S
Kleinman
Mark E
ME
D002971:Cleft Lip / Q000601:surgery*; D006801:Humans; D008046:Lip / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome