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http://dx.doi.org/10.5125/jkaoms.2022.48.6.390

Surgical correction of cleft lip lower-lip deformity: a report of three cases  

Ci Young, Kim (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital)
Sung-Ho, Ha (Department of Oral and Maxillofacial Surgery, Chung-Ang University Hospital)
Jin-Young, Choi (Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.48, no.6, 2022 , pp. 390-396 More about this Journal
Abstract
Cleft lip lower-lip deformity is a secondary deformity in patients who underwent primary cheiloplasty of the upper lip, characterized by an enlarged and anteriorly rotated lower lip. In these cases, soft-tissue imbalances remain even after skeletal correction with orthognathic surgery, and additional soft tissue treatment is required for lip harmony and esthetic facial balance in CLP (cleft lip palate) patients. This study describes three cases of transverse myomucosal excision of the lower lip for correction of cleft lip lower-lip deformity to restore facial esthetic balance. Each patient underwent orthognathic surgery, rhinoplasty, or upper lip revision cheiloplasty according to condition. Postoperatively, volume of the lower lip decreased and lip harmony was improved in all three patients. The surgeon should fully understand the anatomical structure around the lips and be able to evaluate overall harmony of the soft tissue. When a lower lip deformity is present, careful surgical planning and execution are important for each patient.
Keywords
Cleft lip lower-lip deformity; Secondary lip deformity; Lip reduction cheiloplasty; Lip harmony; Cleft lip and palate;
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