• Title/Summary/Keyword: cleft lip

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Surgical Correction of Whistle Deformity Using Cross-Muscle Flap in Secondary Cleft Lip

  • Choi, Woo Young;Yang, Jeong Yeol;Kim, Gyu Bo;Han, Yun Ju
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.470-476
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    • 2012
  • Background The whistle deformity is one of the common sequelae of secondary cleft lip deformities. Santos reported using a crossed-denuded flap for primary cleft lip repair to prevent a vermilion notching. The authors modified this technique to correct the whistle deformity, calling their version the cross-muscle flap. Methods From May 2005 to January 2011, 14 secondary unilateral cleft lip patients were treated. All suffered from a whistle deformity, which is characterized by the deficiency of the central tubercle, notching in the upper lip, and bulging on the lateral segment. The mean age of the patients was 13.8 years and the mean follow-up period was 21.8 weeks. After elevation from the lateral vermilion and medial tubercle, two muscle flaps were crossed and turned over. The authors measured the three vertical heights and compared the two height ratios before and after surgery for evaluation of the postoperative results. Results None of the patients had any notable complications and the whistle deformity was corrected in all cases. The vertical height ratios at the midline on the upper lip and the affected Cupid's bow point were increased (P<0.05). The motion of the upper lip was acceptable. Conclusions A cross muscle flap is simple and it leaves a minimal scar on the lip. We were able to reconstruct the whistle deformity in secondary unilateral cleft lip patients with a single state procedure using a cross-muscle flap.

A STUDY OF THE FREQUENCY OF CONGENITAL MISSING AND SUPERNUMERARY TEETH IN CLEFT LIP AND PALATE PATIENTS (순구개열자의 선천결손치와 과잉치의 발생빈도에 관한 연구)

  • Kang, Jong-Hwa;Kang, Jeung-Suk;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.23 no.3 s.42
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    • pp.319-326
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    • 1993
  • The purpose of this study was to evaluate the frequency of congenital missing teeth and supernumerary teeth in cleft patients. The subjects were divided into bilateral cleft lip and palate(BCLP), unilateral cleft lip and palate(UCLP) and cleft palate alone(CP alone) groups. 97 cleft patients(BCLP 15, UCLP 70, CP alone 12) between 6-20 years old were evaluated. Panorama film, Orthodontic chart and initial intraoral photogram were employed for this research. The obtained results were as follows. 1. The incidence of congenital missing teeth in total cleft samples was $57.7\%$, and the incidence of supernumerary teeth was $26.8\%$. Each incidence was higher than non-cleft. 2. The incidence of congenital missing teeth was the highest in BCLP and the lowest in CP alone. 3. The number of congenital missing teeth per perso was usually one, and the frequency was higher in the maxillary lateral incisors$(67.8\%)$, and maxillary second premolar$(14.9\%)$ than other teeth. 4. Most of tooth number anomalies in cleft patients were found in maxilla, especially adjacent region to the cleft site.

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Primary Correction of Unilateral Cleft Lip by the Tennison-Randall Method: Cases Report and Literatures Review (Tennison-Randall법을 이용한 편측성 구순열의 일차적 교정: 증례보고 및 문헌고찰)

  • Park, Yong-Tae;Kim, Seong-Gon;Park, Young-Wook;Kwon, Kwang-Jun;Park, Ki-Yu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.154-157
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    • 2011
  • The primary purpose of cleft lip surgery should be the aesthetic and functional recovery of the facial components. Triangular flap repair is one of the most common techniques used in cleft lip surgery. In this case report, thirty patients with unilateral cleft lip had been treated using the Tennison-Randall method. The results were favorable and there have been no permanent complications.