title: Unilateral cleft lip/nose repair using an equal bows /straight line advancement technique - A preliminary report and postoperative symmetry-based anthropometry.
abstract: In the evolution of cleft lip repair there has been continuous attempt to minimize local trauma, improve lip and nasal appearance and, especially, prevent conspicuous scars. The surgical technique presented meets these criteria, resulting in an appropriate scar course in children with a specific philtral ridge shape. Postoperative digital anthropometry was performed in 18 patients who underwent unilateral cleft lip repair using the equal bows/straight line advancement technique and in matched healthy control individuals. Symmetry values were assessed for lip length, philtral ridge length, vermilion height, width of the alar base, nasocanthal length, circumference of the nostrils, nostril width and height in both cleft and control groups. Evaluation revealed no significant differences in the symmetry values between cleft patients and control group (lip length: p = 0.71, philtral ridge length: p = 0.52, vermilion height: p = 0.23, alar base width: p = 0.69, nasocanthal length: p = 0.25, nostril circumference: p = 0.17, nostril width: p = 0.34, nostril height: p = 0.33). Principles of cleft lip repair can be achieved using the described technique which provides adequate lip length and natural nasal appearance in patients with a parallel-shaped philtral ridge.
authors.affiliation: Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, D-23562 Luebeck, Germany. Electronic address: samer.hakim@mkg-chir.mu-luebeck.de.
authors.forename: Samer George
authors.initials: SG
authors.lastname: Hakim
authors.affiliation: Department of Plastic and Reconstructive Surgery, SANA Medical Centre, Luebeck, Germany.
authors.forename: Horst Heinrich
authors.initials: HH
authors.lastname: Aschoff
authors.affiliation: Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, D-23562 Luebeck, Germany.
authors.forename: Hans-Christian
authors.initials: HC
authors.lastname: Jacobsen
authors.affiliation: Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, D-23562 Luebeck, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Sieg
mesh_terms: D016022:Case-Control Studies; D002508:Cephalometry / Q000379:methods*; D002648:Child; D002921:Cicatrix / Q000517:prevention & control; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D008046:Lip / Q000473:pathology / Q000601:surgery; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology / Q000601:surgery; D055171:Nasal Cartilages / Q000473:pathology / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D010347:Patient Care Planning; D019651:Plastic Surgery Procedures / Q000379:methods*
keywords: Anthropometry; Labial deformity; Millard lip repair; Pfeifer technique; Unilateral cleft lip and palate