Median Cleft of the Lip: Its Significance and Surgical Repair

1993 ◽  
Vol 30 (1) ◽  
pp. 94-96 ◽  
Author(s):  
James Apesos ◽  
Gregg M. Anigian
Keyword(s):  
Surgical Technique ◽  
Cleft Lip ◽  
Surgical Repair ◽  
Surgical Reconstruction ◽  
Upper Lip ◽  
Facial Cleft ◽  
Median Cleft ◽  
Median Facial Cleft Syndrome ◽  
Associated Abnormalities

Median cleft lip is a midline vertical cleft through the upper lip in the absence of a prolabial remnant. This may occur as a sporadic event or be part of an inherited sequence of anomalies. A failure of formation or fusion of the medial nasal prominences derived from the frontonasal prominence is ultimately responsible for this aberration. Two categories of dysplasia are associated: (1) frontonasal deformity associated with hypotelorism and (2) median facial cleft syndrome associated with hypertelorism. A patient presents with median cleft lip, mild bifid nose, and hypertelorism. Following surgical reconstruction, a good result is achieved. The embryology, implications for associated abnormalities, and surgical technique for treating these cases are discussed.

scholarly journals Median facial cleft syndrome: A case report

2021 ◽  
Vol 7 (2) ◽  
pp. 61-63
Author(s):  
Kaushik Bhattacharya ◽  
Aditya Shikar Bhattacharya ◽  
Neela Bhattacharya
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Upper Lip ◽  
Live Births ◽  
Facial Cleft ◽  
The Face ◽  
Median Cleft ◽  
Median Facial Cleft Syndrome ◽  
Congenital Cleft ◽  
Type 3

Congenital Cleft Lip and Palate is a common birth defect with an incidence of 1 in 600 to 800 live births. This defect usually affects either the left, right or in some cases both sides of the lip and is called a Tessier Type 3 cleft. Clefting of the face in the midline is exceedingly rare and such a case of a Median Facial Cleft Syndrome is being reported which occurs in nearly 1 in 1,000,000 live births. This was first described by Bechard in 1823 and can be sporadic or part of an inherited syndrome. The child had a median cleft of the upper lip, nose, and palate of a severe, complete variety, with absent philtrum of the upper lip, premaxilla, columella, nasal septum and vomer.

scholarly journals Median cleft lip: an uncommon and unique anomaly

2019 ◽  
Vol 6 (8) ◽  
pp. 3035
Author(s):  
Vivek Parameswara Sarma
Keyword(s):  
Central Nervous System ◽  
Nasal Septum ◽  
Cleft Lip ◽  
Relevant Literature ◽  
Upper Lip ◽  
Craniofacial Malformations ◽  
Median Cleft ◽  
The Central Nervous System ◽  
Associated Abnormalities ◽  
Midline Cleft

Median or midline cleft lip [MCL] is an uncommon anomaly characterized by a midline vertical cleft through the upper lip and are either isolated or part of multiple anomalies. It can involve the pre-maxilla, the nasal septum, and the central nervous system. MCL includes Complete (42%), Incomplete (49%), and Minor forms (9%). The three main groups distinguished were: 1. Isolated MCL; 2. MCL with craniofacial malformations; and 3. MCL with extra-facial malformations. To analyze two operated cases of median cleft lip and review the relevant literature. The details of two cases of median cleft lip that were operated in 2017 were analysed. Both cases underwent wedge excision with the classical inverted V incision and muscle reconstruction with satisfactory result. Both the patients had no syndromic association or associated anomaly. All cases of MCL require evaluation for associated abnormalities. Isolated MCL can be repaired surgically with a good outcome. 

True Median Cleft Lip—15 Years of Review and Prevalence

2020 ◽  
Vol 57 (8) ◽  
pp. 1051-1054
Author(s):  
Muhammad Izzuddin Hamzan ◽  
Wan Azman Wan Sulaiman
Keyword(s):  
Surgical Treatment ◽  
Plastic Surgery ◽  
Cleft Lip ◽  
Descriptive Study ◽  
Definitive Treatment ◽  
Associated Anomalies ◽  
Facial Cleft ◽  
Surgical Protocol ◽  
Median Cleft

Objectives: The author presents 4 cases and attempts to analyze the prevalence of true median cleft lip (MCL) in one center. Embryology, associated anomalies, and surgical treatment are discussed. Design: A retrospective descriptive study. Setting: Hospital Universiti Sains Malaysia. Participants: All patients with congenital facial cleft deformities from 2005 to 2019 were retrieved from the Plastic Surgery OR Registry. All characteristics in interest were individually tabulated and evaluated. Four cases were reviewed and discussed. Outcome: Prevalence of true MCL. Results: Out of the 494 patients included in the study, only 4 (0.81%) were affected with a median cleft, and the prevalence of true median cleft was hence determined to be 3 (0.61%) among the cleft population. Conclusion: The prevalence of the true MCL is rare which makes it hard to categorize these clefts, and the surgical protocol needs to be established for the definitive treatment.

scholarly journals Median cleft lip: A new method of surgical repair

2010 ◽  
Vol 43 (01) ◽  
pp. 111-113
Author(s):  
B. V. Khandekar ◽  
S. Srinivasan ◽  
N. J. Mokal
Keyword(s):  
Cleft Lip ◽  
Surgical Repair ◽  
New Method ◽  
Muscle Repair ◽  
Median Cleft ◽  
Midline Cleft

ABSTRACTThe aim is to discuss a new method of muscle repair in midline cleft lip. Three patients with midline cleft lip were repaired with our technique of muscle repair and the results evaluated. Our new method of muscle repair in the form of ‘Z’ helps in forming the philtral dimple.

Novel Surgical Technique for Correction of Incomplete Median Cleft Lip Deformity in Oral-Facial-Digital Syndrome Type II

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Masayuki Osawa ◽  
Yuhei Yamamoto ◽  
Munezumi Fujita ◽  
Taku Maeda ◽  
Emi Funayama
Keyword(s):  
Surgical Technique ◽  
Cleft Lip ◽  
Syndrome Type ◽  
Type Ii ◽  
Median Cleft

Reconstruction of unicoronal plagiocephaly with a hypercorrection surgical technique

2011 ◽  
Vol 31 (2) ◽  
pp. E4 ◽  
Author(s):  
John M. Mesa ◽  
Frank Fang ◽  
Karin M. Muraszko ◽  
Steven R. Buchman
Keyword(s):  
Surgical Technique ◽  
Surgical Repair ◽  
Surgical Techniques ◽  
Senior Author ◽  
Surgical Correction ◽  
Surgical Reconstruction ◽  
Calvarial Bone ◽  
The Mean ◽  
The Aesthetic

Object Successful surgical repair of unicoronal plagiocephaly remains a challenge for craniofacial surgeons. Many of the surgical techniques directed at correcting the stigmata associated with this craniofacial deformity (for example, ipsilateral supraorbital rim elevation [vertical dystopia], ipsilateral temporal constriction, C-shaped deformity of the face, and so on) are not long lasting and often result in deficient correction and the need for secondary revision surgery. The authors posit that the cause of this relapse was intrinsic deficiencies of the current surgical techniques. The aim of this study was to determine if correction of unilateral coronal plagiocephaly with a novel hypercorrection surgical technique could prevent the relapse of the characteristics associated with unicoronal plagiocephaly. Methods The authors performed a retrospective analysis of 40 consecutive patients who underwent surgical repair of unicoronal plagiocephaly at their institution between 1999 and 2009. In all cases, the senior author (S.R.B.) used a hypercorrection technique for surgical reconstruction. Hypercorrection consisted of significant overcorrection of the affected ipsilateral frontal and anterior temporal areas in the sagittal and coronal planes. Demographic, perioperative, and follow-up data were collected for comparison. The postsurgical appearance of the forehead was documented clinically and photographically and then evaluated and scored by 2 independent graders using the expanded Whitaker scoring system. A relapse was defined as a recurrence of preoperative features that required secondary surgical correction. Results The mean age of the patients at the time of the operation was 13 months (range 8–28 months). The mean follow-up duration was 57 months (range 3 months to 9.8 years). The postsurgical hypercorrection appearance persisted on average 6–8 months but gradually dissipated and normalized. No patients exhibited a relapse of unicoronal plagiocephalic characteristics that required surgical correction. In all cases the aesthetic results were excellent. Only 3 patients required reoperation for the management of persistent calvarial bone defects (2 cases) and removal of a symptomatic granuloma (1 case). Conclusions Our study demonstrates that patients who undergo unicoronal plagiocephaly repair with a hypercorrection surgical technique avoid long-term relapse. Our results suggest that the surgical technique used in the correction of unilateral coronal synostosis is strongly associated with the prevention of postsurgical relapse and that the use of this novel method decreases the need for surgical revision.

Surgical repair of a median cleft of the upper lip

1994 ◽  
Vol 52 (11) ◽  
pp. 1217-1219 ◽  
Author(s):  
William J. Starck ◽  
Bruce N. Epker
Keyword(s):  
Surgical Repair ◽  
Upper Lip ◽  
Median Cleft

scholarly journals Median cleft lip: A new method of surgical repair

2010 ◽  
Vol 43 (1) ◽  
pp. 111 ◽  
Author(s):  
BV Khandekar ◽  
S Srinivasan ◽  
NJ Mokal
Keyword(s):  
Cleft Lip ◽  
Surgical Repair ◽  
New Method ◽  
Median Cleft

Correction of whistle deformity secondary to cleft lip repair by V-Y plasty: a simple and effective technique

2021 ◽  
Vol 14 (12) ◽  
pp. e246303
Author(s):  
H Hari Kishore Bhat ◽  
Varsha Haridas Upadya
Keyword(s):  
Local Anaesthesia ◽  
Cleft Lip ◽  
Surgical Repair ◽  
Effective Procedure ◽  
Muscle Repair ◽  
Upper Lip ◽  
Effective Technique ◽  
Outpatient Procedure ◽  
Surgical Options ◽  
Cleft Lip Repair

Several techniques are available for the surgical repair of the cleft lip, however, avoiding secondary deformities and achieving consistent results remains a challenge. The whistle deformity is a secondary lip deformity characterised by inadequate fullness of the central upper lip with abnormal exposure of the central incisors when the lips are at rest, giving a whistling appearance. The causes include scarring of the vermilion and failure to restore the mucosal or muscular continuity. Various surgical options are available ranging from simple procedures like V-Y plasty and Z-plasty to complex procedures like complete lip redo, locoregional flaps, fillers and grafts. V-Y plasty is a simple, effective procedure for lip lengthening that can be performed under local anaesthesia as an outpatient procedure. It is less technique sensitive and also allows for some degree of muscle repair. We present a case of whistle deformity satisfactorily corrected with V-Y plasty.

Sign in / Sign up

Export Citation Format

Share Document