Tailored Microform Cleft Lip Repair

A neonate presented to our clinic for evaluation of unusual congenital cleft lip. The clinical follow-up showed at first an ulceration of the lesion and then a stable result after propanolol systemic therapy. After 18 months of clinical follow-up, surgical treatment was performed, which consisted of double unilimb Z-plasty according to Mulliken's microform cleft lip repair. Knowing the existence of these strange vascular anomalies of the lip will allow us to improve the differential diagnosis and treatment plan.

Download Full-text

The V-shaped mini flap method for microform cleft lip repair

European Journal of Plastic Surgery ◽

10.1007/s00238-016-1262-y ◽

2016 ◽

Vol 40 (3) ◽

pp. 183-186

Author(s):

Naoshige Iida ◽

Ayako Watanabe

Keyword(s):

Cleft Lip ◽

Cleft Lip Repair ◽

Microform Cleft Lip

Download Full-text

Unilateral Cleft Lip Repair

Clinics in Plastic Surgery ◽

10.1016/s0094-1298(20)32434-2 ◽

1993 ◽

Vol 20 (4) ◽

pp. 647-657 ◽

Cited By ~ 5

Author(s):

Michael B. Lewis

Keyword(s):

Cleft Lip ◽

Cleft Lip Repair ◽

Unilateral Cleft Lip Repair

Download Full-text

The unilateral cleft lip repair

American Journal of Otolaryngology ◽

10.1016/j.amjoto.2021.102908 ◽

2021 ◽

Vol 42 (3) ◽

pp. 102908

Author(s):

Jeewanjot S. Grewal ◽

Susan C. Yanik ◽

Alexis M. Strohl-Bryan ◽

Sherard A. Tatum

Keyword(s):

Cleft Lip ◽

Cleft Lip Repair ◽

Unilateral Cleft Lip Repair

Download Full-text

Perioperative Management of Cleft Lip Repair: A Meta-Analysis and Clinical Practice Guideline

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620984909 ◽

2021 ◽

pp. 105566562098490

Author(s):

Matthew Ranzer ◽

Edward Daniele ◽

Chad A. Purnell

Keyword(s):

Systematic Review ◽

Cleft Lip ◽

Wound Closure ◽

Perioperative Management ◽

Outpatient Surgery ◽

Meta Analysis ◽

Bottle Feeding ◽

Perioperative Antibiotics ◽

Cleft Lip Repair ◽

Postoperative Feeding

Objective: Few studies have focused on perioperative management of cleft lip repair. We sought to evaluate the available data on this topic to create evidence-based clinical guidelines. Design: Systematic review, meta-analysis. Methods: A PubMed search was performed focusing on perioperative management of cleft lip repair. Studies were included if they included comparative data. A systematic review and meta-analysis was performed according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Main Outcome Measures: Systematic review of literature regarding wound closure, postoperative arm restraints, perioperative antibiotics, outpatient or ambulatory surgery, or feeding restrictions postoperatively. Results: Twenty-three articles met inclusion criteria after initial screening of 3103 articles. This included 8 articles on wound closure, 2 on postoperative restraints, one on perioperative antibiotics, 6 on outpatient surgery, and 6 on postoperative feeding. Meta-analysis could be performed on dehiscence rates with postoperative feeding regimen and readmission rates after outpatient versus inpatient lip repair. There were few studies with low risk of bias. Outpatient cleft lip repair does not increase readmission (odds ratio [OR]: 0.92, 95% CI: 0.28-3.07). Allowing postoperative breastfeeding or bottle-feeding does not increase dehiscence (OR: 0.61, 95% CI: 0.19-1.95). There was no evidence of publication bias. Conclusion: Within the limitations of available data, there is no evidence of a clearly superior closure material. The evidence does not support use of postoperative arm restraints. The evidence does not support the use of preoperative nasal swabs for antibiotic guidance. With careful patient selection, outpatient cleft lip repair appears safe. The evidence supports immediate breastfeeding or bottle-feeding after cleft lip repair.

Download Full-text

Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620982801 ◽

2021 ◽

pp. 105566562098280

Author(s):

Robin A. Tan ◽

Frans J. Mulder ◽

Roderic M. F. Schwirtz ◽

David G. M. Mosmuller ◽

Henrica C. W. De Vet ◽

...

Keyword(s):

Analysis Of Variance ◽

Online Survey ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Old Patients ◽

Rank Score ◽

Cleft Lip Repair ◽

Typical Appearance ◽

Unilateral Cleft Lip Repair ◽

Insight Into

Objective: To gain more insight into the assessment of “atypical” nasal and lip appearance outcomes compared to “typical” appearance outcomes after unilateral cleft lip and palate (UCLP) repair, when judged by professionals, patients with repaired UCLP, and laypeople. Design: An online survey containing 3 series of photographs with various degrees of “typical” and “atypical” nasal and lip appearance outcomes after UCLP repair was sent to 30 professionals, 30 patients with repaired UCLP, and 50 laypeople in 2 countries. Participants were instructed to rank the photographs from excellent to poor based on overall appearance. Mean rank positions of photographs were analyzed and differences in mean rank score between “typical” and “atypical” results were assessed using a T-test. Agreement of ranking between the 3 groups was assessed with an analysis of variance analysis. Setting: Amsterdam UMC, location VUmc, Netherlands and Boston Children’s Hospital, Boston, USA. Patients: Photographs of 6- to 18-year-old patients with repaired UCLP. Results: “Atypical” appearance outcomes were ranked significantly less favorably (small nostril: P = 0.00; low vermillion border: P = 0.02; whistling deformity: P = 0.00) compared to “typical” outcomes. Difference between professionals, patients and laypeople in rank positioning the photographs was not statistically significant ( P = 0.89). Conclusions: Noses with a smaller nostril and lips containing a whistling deformity were perceived as poorer outcome compared to the “typical” results. Professionals, patients, and laypeople are in agreement when assessing these outcomes.

Download Full-text

Anthropometric Outcome of Primary Unilateral Cleft Lip Repair in Indonesia

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620982757 ◽

2021 ◽

pp. 105566562098275

Author(s):

Robertus Arian Datusanantyo ◽

Magda Rosalina Hutagalung ◽

Sitti Rizaliyana ◽

Djohansjah Marzoeki

Keyword(s):

Cleft Lip ◽

Outcome Measure ◽

Cleft Lip And Palate ◽

Inclusion Criteria ◽

Initial Size ◽

Tertiary Center ◽

Observational Cohort ◽

Cleft Lip Repair ◽

Unilateral Cleft Lip Repair ◽

Junior Residents

Objective: This study aimed to measure and analyze the outcome of primary unilateral cleft lip repair. Design: Observational cohort study. Setting: Surabaya Cleft Lip and Palate (CLP) Center, a major referral center for the Eastern part of Indonesia, affiliated with a tertiary center. Patients, Participants: From 69 patients who met the inclusion criteria, we excluded 31 patients who were more than 2 years of age and were operated on by junior residents under supervision. Interventions: We performed anthropometric measurements of the patients on photographs taken before, immediately after, and a year after the surgery. Main Outcome Measure(s): This study measured nasal width, vertical lip height, horizontal lip length, and philtral height ratios. Results: While nasal width and philtral height ratios decreased significantly ( P = .000 and P = .000, respectively) reaching symmetry immediately after surgery, the horizontal lip length, and vertical lip height ratios remained unchanged ( P = .862 and P = .981, respectively). A year after surgery, the nasal width and horizontal lip length ratios increased significantly ( P = .017 and P = .006, respectively), while philtral height and vertical lip height ratios remained unchanged ( P = .927 and P = .138, respectively). There was no difference in the ratios based on the initial size and completeness of the cleft. Conclusion: In Surabaya CLP Center, the symmetry of nasal width, philtral height, horizontal lip length, and vertical lip height were achieved by the unilateral cleft lip repair despite the initial size and completeness of the cleft.

Download Full-text