Primary Repair of the Bilateral Cleft Lip Nose: A Long-Term Follow-Up

2009 ◽  
Vol 124 (5) ◽  
pp. 1610-1615 ◽  
Author(s):  
Harold K. McComb
Keyword(s):  
Cleft Lip ◽  
Primary Repair ◽  
Bilateral Cleft Lip ◽  
Long Term Follow Up ◽  
Cleft Lip Nose

scholarly journals Long Term Follow Up of Hemangioma on Bilateral Cleft Lip

1970 ◽  
Vol 2 (3) ◽  
Author(s):  
Parintosa Atmodiwirjo ◽  
Puri Ambar Lestari ◽  
Ayu Diah Kesuma
Keyword(s):  
Cleft Lip ◽  
Asian Population ◽  
Postnatal Growth ◽  
Massive Bleeding ◽  
Left Behind ◽  
Good Shape ◽  
Bilateral Cleft Lip ◽  
Long Term Follow Up

Background: Hemangioma is a common tumor of infancy that exhibits rapid postnatal growth and slow regression during childhood. Cleft lip is a common anomaly found in Indonesia. These entities are twice in common in the Asian population. However, simultaneous occurance of these two abnormalities is rare to be found. Patient and Method: A case of bilateral cleft lip complicated with hemangioma on the left side of lip and the surrounding skin through the mucosa, and the prolabium, which had been performed cheiloplasty procedure at age 9 months old. Cheiloplasty design was made through the hemangioma area with a careful hemostasis to avoid massive bleeding. Result: Hemangioma was partially left behind at the cheiloplasty procedure. There was no bleeding during and after the surgery. Two years following the surgery, there was a fine scar with good shape of the lip and no further growth of the hemangioma. Summary: Hemangioma and cleft lip are very rare to be found in the same location. Because of the involution potential of hemangioma, timing of surgery is very important. Considering the psychosocial aspect, the surgery was performed at the age of 9 months. Two years after surgery, we didn’t find any growth of hemangioma or deformity of the bone and lip. The scar growth is in good esthetic result, no difference with left lip child without hemangioma.

scholarly journals Repair of bilateral cleft lip and its variants

2009 ◽  
Vol 42 (S 01) ◽  
pp. S79-S90
Author(s):  
John B. Mulliken
Keyword(s):  
Primary Closure ◽  
Cleft Lip ◽  
Three Dimensional ◽  
Nasal Deformity ◽  
Dimensional Changes ◽  
Bilateral Cleft Lip ◽  
Long Term Follow Up ◽  
Technical Modifications

ABSTRACTThe surgeon who lifts a scalpel to repair a bilateral cleft lip and nasal deformity is accountable for: 1) precise craftsmanship based on three-dimensional features and four-dimensional changes; 2) periodic assessment throughout the child's growth; and 3) technical modifications during primary closure based on knowledge gained from long-term follow-up evaluation. These children should not have to endure the stares prompted by nasolabial stigmata that result from outdated concepts and technical misadventures. The principles for repair of bilateral complete cleft lip have evolved to such a level that the child's appearance should be equivalent to, or surpass, that of a unilateral complete cleft lip. These same principles also apply to the repair of the variants of bilateral cleft lip, although strategies and execution differ slightly.

scholarly journals Secondary bilateral cleft lip-nose deformity correction by rhinoplasty with simultaneous Abbe flap

2014 ◽  
Vol 47 (01) ◽  
pp. 20-24 ◽  
Author(s):  
Nitin J. Mokal ◽  
Manpreet Juneja
Keyword(s):  
Cleft Lip ◽  
Perioperative Complications ◽  
Deformity Correction ◽  
Flap Necrosis ◽  
Upper Lip ◽  
Bilateral Cleft Lip ◽  
Nose Deformity ◽  
Abbé Flap ◽  
Cleft Lip Nose

ABSTRACTAim: The purpose of this article is to review modification and outcome of secondary rhinoplasty along with Abbι flap for correction of secondary bilateral cleft lip deformity. Materials and Methods: A total of thirteen patients of secondary bilateral cleft lip-nose deformity having tight upper lip, lack of acceptable philtral column, Cupid′s bow definition, irregular lip scars, and associated nasal deformity were selected. All the patients received Abbι flap and simultaneous nasal correction. All cases were treated during a period of three years. Mean patient age at the time of the operation was 21 years, and ranged from 16 to 27 years. The average follow-up period was three years. Results: Assessment of results was based on comparing preoperative and postoperative clinical photographs done by surgeon and patient relatives and patient satisfaction questionnaires. The columellar lengthening and upper lip vermillion correction achieved was satisfactory. There were no perioperative complications such as airway obstruction, bleeding, infection, wound disruption, or flap necrosis.

scholarly journals Long-term follow-up of mandibular dental arch changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12643
Author(s):  
Sariesendy Sumardi ◽  
Benny S. Latief ◽  
Anne Marie Kuijpers-Jagtman ◽  
Edwin M. Ongkosuwito ◽  
Ewald M. Bronkhorst ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Dental Arch ◽  
Contributing Factors ◽  
Mandibular Arch ◽  
End Of Treatment ◽  
Space Closure ◽  
Long Term Follow Up ◽  
Maxillary Lateral Incisor

Background Treatment of cleft lip and palate (CLP) requires a comprehensive interdisciplinary approach and long-term follow-up. Only a few studies are available that reported on changes after treatment, which showed that in particular the transverse dimension, in patients with CLP is prone to changes after treatment. However, those studies did not pay attention to concomitant changes in the mandibular arch that occur after treatment. Objectives To evaluate mandibular transverse dental arch dimensions and interarch transverse changes in patients with complete non-syndromic unilateral cleft lip, alveolus, and palate (CUCLAP) up to five years after treatment. Material and Methods Retrospective longitudinal study in 75 consecutive patients with CUCLAP directly after comprehensive treatment (T0), two (T2), and 5 years after treatment (T5). Great Ormond Street, London and Oslo (GOSLON) scores were available for all patients. Three-dimensional scans of all dental casts were made. Inter premolar and intermolar distances between the mandibular contralateral teeth were measured. The modified Huddart Bodenham (MHB index) was applied to assess the transverse interarch relationship. Paired t-tests and ANOVA were used to analyze transverse and interarch transverse changes. Linear regression analysis was done to define contributing factors. Results Paired t-tests showed a significant decrease of the mandibular inter first and second premolar distances (p < 0.05) and an increase of the inter second molar distance, whilst the MHB Index deteriorated at all time points for all segments and for the total arch score (p < 0.05). Linear regression showed no significant contributing factors on the decrease of the transverse distances. However, inter arch transverse relationship was significantly affected by age at the end of treatment, missing maxillary lateral incisor space closure, and the GOSLON Yardstick score at the end of treatment (p < 0.05), especially during the first two years after treatment. Conclusions Changes occurred in the mandibular arch expressed as changes in the transverse dimensions and interarch relationship measured by the MHB Index. A younger age at the end of treatment, space closure for a missing maxillary lateral incisor and a higher GOSLON score at the end of treatment negatively influence the interarch transverse deterioration especially in the first two years after treatment. For the transverse dimensional changes in the mandibular arch such influencing factors could not be determined.

WITHDRAWN—Administrative Duplicate Publication: Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate: Long-term Follow-up After 1- or 2-Stage Palate Repair

2018 ◽  
Vol 55 (5) ◽  
pp. 758-768 ◽  
Author(s):  
Staffan Morén ◽  
Per Åke Lindestad ◽  
Mats Holmström ◽  
Maria Mani
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Voice Quality ◽  
Two Stage ◽  
Duplicate Publication ◽  
Long Term Follow Up ◽  
Palate Repair

Morén, S., Lindestad, P. Å., Holmström, M., & Mani, M. (2018). Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate: Long-term Follow-up After 1- or 2-Stage Palate Repair. The Cleft Palate-Craniofacial Journal, 55(5), 758–768. DOI: 10.1177/1055665618754946 Article withdrawn by publisher. Due to an administrative error, this article was accidentally published in Volume 55 Issue 5 as well as Volume 55 Issue 8 of publishing year 2018 with different DOIs and different page numbers. The incorrect version of the article with DOI: 10.1177/1055665618754946 has been replaced with this correction notice. The correct and citable version of the article remains: Morén, S., Lindestad, P. Å., Holmström, M., & Mani, M. (2018). Voice Quality in Adults Treated for Unilateral Cleft Lip and Palate: Long-Term Follow-Up After One- or Two-Stage Palate Repair. The Cleft Palate-Craniofacial Journal, 55(8), 1103–1114. DOI: 10.1177/1055665618764521

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