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SURGICAL CORRECTION OF A CUPID'S BOW USING A DOUBLE Z-PLASTY: REPORT OF A CASE  

Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University)
Seo, Il-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dental Science Research Institute, Chonnam National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.27, no.1, 2005 , pp. 66-70 More about this Journal
Abstract
Cupid's bow, upper lip, columella, and ala of nose are esthetically important, in which their symmetrical plasties determine success or failure of the surgery in cleft lip and palate patients. Z-palsty and its modifications are simple and effective. The double Z-plasty is economical in surgical time and esthetics in reconstructing the cupid's bow compared with other methods. We report a 29-year-old male patient who represented reversed cupid's bow and whistle deformity after the primary repair of the cleft lip. He was corrected the cupid's bow using a double Z-plasty. The reversed cupid's bow was corrected to a normal shape and the whistle deformity disappeared. The tightness of the upper lip was relieved after the operation. The double Z-plasty was esthetically successful because the procedure was limited in the vermilion and did not produce a new scar on the skin. Furthermore, the lip tubercle became protuberant. The cupid's bow was symmetrically smoothly curved at 4 years after the operation. These results indicate that the double Z-plasty is simple, less traumatic to the surrounding tissues, and suitable for the correction of whistle deformity.
Keywords
Cleft lip; Cupid's bow; Double Z-plasty;
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  • Reference
1 Tennison CW : The repair of the unilateral cleft lip by the stencil method. Plast Reconstr Surg 9 : 115, 1952   DOI
2 Gillies H, Kilner TP. Hare-lip : Operation for the correction of secondary deformities. Lancet 223 : 1369, 1932   DOI   ScienceOn
3 Holmmstrom H : The Abbe island flap for the correction of whistling deformity. Br J Plast Reconst Surg 40 : 176, 1987   DOI   ScienceOn
4 Mulliken JB, Pensler JM, Kozakewich PW : The anatomy of Cupid's bow in normal and cleft lip. Plast Reconstr Surg 92 : 395, 1993   DOI   PUBMED   ScienceOn
5 Farkas LS, Bryson W, Klotz J : Is photogrammaetry of the face reliable? Plast Reconstr Surg 66 : 346, 1980   DOI   ScienceOn
6 Spira M, Stal S : V-Y advancement of a subcutaneous pedicle in vermilion lip reconstruction. Plast Reconstr Surg 72 : 562, 1983   DOI   PUBMED   ScienceOn
7 Millard DR J : A radical rotation in single harelip. Am J Surg 95 : 318, 1958   DOI   PUBMED   ScienceOn
8 Vecchione TR : Construction of Cupid's bow. Plast Reconstr Surg 65 : 830, 1980   DOI   PUBMED   ScienceOn
9 Takato T, Yonehara Y, Susami T, Uoshima : Modification of the Abbe'flap for reconstruction of the vermilion tubercle and cupid's bow in cleft lip patients. J Oral Maxillofac Surg 54 : 256, 1996   DOI   PUBMED   ScienceOn
10 Paniker P, Mellette JR M : A simple technique for repair of cupid's bow. Dermatol Surg 29 : 636, 2003   DOI   ScienceOn
11 Cronin TD, Cronin ED, Roper P, Millard DR, McComb H : Bilateral clefts. In Converse JM (ed) : Reconstructive plastic surgery. 3rd ed. Vol 3. Philadelphia, Mosby, 1999, pp.2653-2722
12 Onizuka T : Philtrum formation in the secondary cleft lip repair. Plast Reconstr Surg 56 : 522, 1979   DOI   PUBMED   ScienceOn
13 O'Connor GB, McGregor MW : Surgical formation of the philtrum and the cutaneous upsw: A method of cutting and suturing the lip in the treatment of complete unilateral clefts. Plast Reconstr Surg 4 : 1, 1949   DOI
14 Jackson IT, Souter DS : The sandwitch Abbe flap in secondary cleft lip deformity. Plast Reconstr Surg 66 : 38, 1980   DOI   PUBMED   ScienceOn
15 Lindsay WK, Farkas LS : The use of anthropometry in assessing the cleft lip nose. Plast Reconstr Surg 49 : 286, 1972   DOI   ScienceOn
16 Takeshita A, Nakajima T, Kaneko T, Yazawa M, Tamada I : Surgical creation of a Cupid's bow using W-plasty in patients after cleft lip surgery. Br J Plast Reconst Surg 56 : 375, 2003   DOI   ScienceOn
17 Thomson HG, Hart NB : Reconstruction of Cupid's bow: a quadrilateral flap technique. 22 : 195, 1989   DOI   PUBMED   ScienceOn
18 Park BY, Kim KT, Chung S, Lee YH : In-situ correction of mild to moderate tight upper lip in secondary cleft lip and nose deformity. Kor J Plast Surg 24 : 967, 1997
19 Hester TR, Jurkiewich MJ, Meyer R : Total reconstruction of the end-stage cleft lip and palate deformity. Plast Reconstr Surg 76 : 539, 1985   DOI   PUBMED   ScienceOn
20 Sawada Y, Koga Y, Nihei Y, Urushidate S : Reconstruction of cupid's bow with bilateral vermilion flaps. Br J Plast Reconst Surg 49 : 466, 1996   DOI   ScienceOn
21 Millard DR Jr : Refinements in rotation-advancement cleft lip technique. Plast Reconstr Surg 33 : 26, 1964   DOI   PUBMED   ScienceOn