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Correction of Bilateral Cleft Lip Using Modified Noordhoff Technique  

Cho, Byung Chae (Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine)
Lee, Yong Jig (Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine)
Publication Information
Archives of Plastic Surgery / v.33, no.4, 2006 , pp. 399-406 More about this Journal
Abstract
Purpose: The authors accessed the anthropometric measurements of fourty non-cleft normal a three-month-old infant and using this obtained data as a basic guideline, authors applied the modified Noordhoff technique for the treatment of bilateral cleft lip. Methods: Over a period of 10 years, a total of 21 bilateral cleft lips were operated. 13 cases of complete and 8 cases of incomplete bilateral cleft lip and palate. In the complete type of bilateral cleft palate, elastic head cap and passive intraoral appliance were applied at 1 to 2 week of age for 2 months duration. The definitive cheiloplasty was performed at 3 months of age using the modified Noordhoff technique. Results: After a follow-up period ranging one to nine years, most patients presented with cosmetically and functionally satisfying results, with an exception of two cases where an undesired peaking effect of the vermilion and dimpling of the vermilion mucosa was encountered. Conclusion: Accessing the anthropometric measurements of fourty non-cleft normal three-month-old infant and using this obtained dara as a guideline, the modified Noordhoff technique can be applied to either complete or incomplete bilaterally cleft lip providing more naturally pleasing and cosmetically satisfying scars that lie in harmony with the philtral ridges, lip tubercle positioned just below the vermilion and a distinct white line and Cupid's bow.
Keywords
Modified Noordhoff method; Elastic head cap; Bilateral cleft lip;
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1 Byun TH, Uhrn KI: Lip adhesion in bilateral cleft lip. J Korean Soc Plast Reconstr Surg 21: 501, 1994
2 Lee JH, Shin DP, Chung HY, Cho Be Baik BS, Yoon KT: Anthropometric study of the upper lip and nose in infants younger than one year old. J Korean Soc Plast Reconstr Surg 27: 377, 2000
3 Georgiade NG: The management of premaxillary and maxillary segments in the newborn cleft patient. Cleft Palate J 7: 411, 1970
4 Millard DR Jr: Oosure of bilateral cleft lip and elongation of columella by two operations in infancy. Plast Reconstr Surg 47: 324, 1971   DOI   ScienceOn
5 Mulliken JB: Bilateral complete cleft lip and nasal deformity: an anthropometric analysis of staged to synchronous repair. Plast Reconstr Surg 96: 9, 1995   DOI   ScienceOn
6 McComb H: Primary repair of the bilateral cleft lip nose: a 4-year review. Plast Reconstr Surg 94: 37, 1994   DOI   ScienceOn
7 Han KW, Kim JS, Choi DW: Correction of bilateral cleft lip, alveolus, and nose with modified Mulliken method. J Korean Soc Plast Reconstr Surg 25: 1338, 1998
8 Wynn SK: Lateral flap cleft lip surgery technique. Plast Reconstr Surg 26: 509, 1960   DOI
9 Kim SK, Park SH, Oh K, Kim HS, Kim JT: The superiority of Mulliken's Method in the unilateral cleft lip surgery. J Korean Soc Plast Reconstr Surg 26: 1112, 1999
10 Manchester WM: The repair of double cleft lip as part of an integrated program. Plast Reconstr Surg 45: 207, 1970   DOI   ScienceOn
11 Kim SK, Lee JH, Lee KC, Park JM: Mulliken method of bilateral cleft lip repair: anthropometric evaluation. Plast Reconstr Surg 116: 1243, 2005   DOI   ScienceOn
12 Tennison CW: The repair of the unilateral cleft lip by the stencil method. Plast Reconstr Surg 9: 115, 1952   DOI
13 Cho BC, Park JW, Baik BS: Correction of severe secon- dary cleft lip nasal deformity using a composite graft: current approach and review. Ann Plast Surg 48: 131, 2002   DOI   ScienceOn
14 Noordhoff MS: Bilateral cleft lip reconstruction. Plast Reconstr Surg 78: 45, 1986   DOI   ScienceOn
15 Black PW, Scheflan M: Bilateral cleft lip repair: 'putting it all together'. Ann Plast Surg 12: 118, 1984   DOI   ScienceOn