Incomplete Midline Cleft of Lower Lip

Midline cleft of the lower lip is defined as a midline vertical cleft of the soft tissue of the lower lip. It may present with a midline cleft of the mandible. It may also be accompanied by other congenital anomalies such as a cleft tongue, ankyloglossia, a heart lesion, and absence of the hyoid bone. The etiologic cause is thought to be a failure of mesodermal penetration into the midline structures of the first branchial arch. This case report is on a female child who presented with an incomplete midline cleft of the soft tissue of the lower lip. It was surgically corrected with a vertical wedge excision and primary closure.

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Complete Midline Cleft of Lower Lip, Mandible, Tongue, Floor of Mouth with Neck Contracture: A Case Report and Review of Literature

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0035-1549013 ◽

2015 ◽

Vol 8 (4) ◽

pp. 363-369 ◽

Cited By ~ 6

Author(s):

Anantheswar Y. N. Rao

Keyword(s):

Case Report ◽

World Literature ◽

Rare Condition ◽

Female Child ◽

Flexion Contracture ◽

Lower Lip ◽

Floor Of The Mouth ◽

First Case ◽

Manubrium Sterni ◽

Midline Cleft

Midline cleft of the lower lip and mandible is an extremely rare condition. Since 1819, when the first case was reported by Couronne, fewer than 80 cases have been described in the world literature so far. The cleft has also been described as facial cleft no. 30 by Paul Tessier. The condition varies in severity from a mild variety in which there is a submucous cleft and notching in the lower lip to a severe variety, involving the tongue, floor of the mouth, mandible, absent hyoid, atrophic neck muscles, and sternum. In this case report, a female child having complete midline cleft of the lower lip and mandible, with bifid tongue stuck to the floor of the mouth, absent hyoid bone and flexion contracture band extending from the confluence of the tip of the tongue, floor of the mouth, cleft mandible to the manubrium sterni is described, with special emphasis on surgical planning and management.

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Changes in the lower lip soft tissue after bone graft harvesting from the mandibular symphysis

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2016.09.006 ◽

2017 ◽

Vol 46 (1) ◽

pp. 129-133 ◽

Cited By ~ 2

Author(s):

N. Altiparmak ◽

B.S. Akdeniz ◽

S.S. Akdeniz ◽

S. Uçkan

Keyword(s):

Soft Tissue ◽

Bone Graft ◽

Lower Lip ◽

Mandibular Symphysis ◽

Bone Graft Harvesting

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Soft-Tissue Profile Changes during Widening and Protraction of the Maxilla in Patients with Cleft Lip and Palate Compared with Normal Growth and Development

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1993_030_0454_stpcdw_2.3.co_2 ◽

1993 ◽

Vol 30 (5) ◽

pp. 454-468 ◽

Cited By ~ 6

Author(s):

Rolf S. Tindlund ◽

Per Rygh

Keyword(s):

Soft Tissue ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Lower Lip ◽

Maxillary Protraction ◽

Transverse Expansion ◽

Short Period ◽

Soft Tissue Profile ◽

Lateral Cephalograms ◽

Maxillary Deficiency

During the last 15 years, cleft lip and palate (CLP) patients with maxillary deficiency in the care of the Bergen CLP team have undergone an interceptive orthopedic treatment phase during the deciduous and mixed dentition period. The present study includes 68 patients who received maxillary transverse expansion by use of a modified quad-helix appliance and 98 cases given maxillary protraction by a facial mask. All cases were treated until an acceptable normal occlusion was attained. Lateral cephalograms were taken immediately before and after the active treatment periods. Sagittal changes of the soft-tissue profile during transverse expansion and protraction were analyzed separately for unilateral complete cleft lip and palate (UCLP) patients and bilateral complete cleft lip and palate (BCLP) patients. The soft-tissue profiles of the groups were compared to growth changes of noncleft age-matched children (NORM group). During the short period of maxillary transverse expansion (mean period, 3.5 months) no significant change of the soft-tissue profile was found, except in the protrusion of the lower lip in the BCLP group. During the period of maxillary protraction (mean periods, 12 months in the UCLP group and 15 months in the BCLP group) the soft-tissue profile improved significantly by reducing the characteristic tendency towards a concave profile in CLP patients with maxillary deficiency. Significant Increases of the sagittal maxillomandlbular lip relation (angle SS-N-SM: mean Increase, 2.5 degrees) and the Holdaway-angle (H-angle: mean increase, 3.0 degrees) were found to be similar in the UCLP and BCLP groups. However, the use of different reference lines for evaluation of treatment effects upon the soft-tissue profile resulted in conflicting findings suggesting that anteriorly situated reference lines are more suitable for the evaluation of CLP patients. Thus, the esthetic line (E.line) indicated a favorable position of the lips after treatment; the subspinale-pogonlon line (ss.pg) revealed an Improved soft-tissue profile; the soft-tissue-facial line (N.PG) showed a retruded nose and upper lip; whereas basal references such as the nasion-sella line (NSL) and the occlusal-line perpendicular (OLP) mainly showed major differences between the CLP groups and the NORM groups.

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Versatile Grafts and Flaps in Reconstruction of Oral and Maxillofacial Postsurgical Defects

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1042 ◽

2011 ◽

Vol 2 (1) ◽

pp. 17-25 ◽

Cited By ~ 3

Author(s):

Madhumati Singh ◽

Anjan Shah ◽

Shouvik Chowdhury

Keyword(s):

Squamous Cell Carcinoma ◽

Soft Tissue ◽

Functional Ability ◽

Primary Closure ◽

Tissue Loss ◽

Local Flaps ◽

Loss Of Function ◽

Neck Tumors ◽

Ablative Surgery ◽

And Function

ABSTRACT Ablative surgery for head and neck tumors is associated with significant disfigurement and loss of function. The main aim of the surgeon is to provide functional ability and esthetics of the patient. Type and extent of tissue loss from surgery relates to loss of soft tissue and bone. Reconstructions of jaw and mouth defects represent a challenge to the surgeon and are most commonly indicated in patients with oral squamous cell carcinoma.4 Primary closure and the restoration of form, cosmetics and function are the goals of reconstructive surgery. Various techniques have been practiced, including grafts, local flaps, regional flaps and free vascularized flaps even with diverse options, each one has its inherent advantages and shortcomings. This article highlights our experiences with various reconstructive options, best possible reconstructive method to be followed to minimize morbidity of the patient.

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A case of small epithelioid sarcoma arising in the soft tissue of the lower lip

Journal of Japanese Society of Oral Oncology ◽

10.5843/jsot.33.113 ◽

2021 ◽

Vol 33 (3) ◽

pp. 113-118

Author(s):

Chiharu Ogawa ◽

Shin Usuda ◽

Hidetaka Miyashita ◽

Seiji Asoda ◽

Ikuhiro Uchida ◽

...

Keyword(s):

Soft Tissue ◽

Epithelioid Sarcoma ◽

Lower Lip

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Mega Fibula Free Flap for Reconstruction of an Extensive Mandibulofacial Defect

Annals of Otology Rhinology & Laryngology ◽

10.1177/0003489420946782 ◽

2020 ◽

pp. 000348942094678

Author(s):

Chen Lin ◽

Akina Tamaki ◽

Enver Ozer

Keyword(s):

Soft Tissue ◽

Free Flap ◽

Single Mode ◽

Soft Tissue Defect ◽

Peroneal Artery ◽

Soft Tissue Coverage ◽

Large Defect ◽

Skin Paddle ◽

Lower Lip ◽

Fibula Free Flap

Objective: Extensive mandibulofacial defects can be challenging to reconstruct. We present the case of a complex mandibulofacial defect reconstructed with a mega, chimeric fibula free flap. Methods: Ablation of the oral cavity tumor resulted in a large defect involving mandible, floor of mouth, and tongue. Skin of the chin and neck as well as the lower lip were also resected. A fibula free flap was harvested with the skin paddle involving most of the lateral compartment. Results: The fibula free flap was split into proximal (80 cm2) and distal (120 cm2) skin paddle islands, which were supplied by separate perforators off the peroneal artery. The intraoral soft tissue defect was reconstructed with the proximal skin paddle while the skin was recreated with the distal skin paddle. A Karapandzic flap was used to reconstruct the lower lip. Conclusions: The traditional fibula free flap skin paddle often does not provide sufficient soft tissue coverage for large mandibulofacial defects. Some surgeons opt to harvest a second free flap. We describe our technique for using the mega fibula free flap – one of the largest reported in the literature – as a single mode of reconstruction.

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Chronic high velocity projectile injury to the foot

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-79-5-236 ◽

1989 ◽

Vol 79 (5) ◽

pp. 236-241

Author(s):

G Scartozzi ◽

L Hoffman

Keyword(s):

Soft Tissue ◽

Soft Tissue Infection ◽

High Velocity ◽

Primary Closure ◽

Sinus Tract ◽

Foot And Ankle ◽

Chronic Effects ◽

The Right ◽

Acute And Chronic Effects ◽

Methods Of Treatment

Acute projectile injuries to the foot can present a challenge for the podiatric physician, especially in terms of their chronic effects. The case of a shrapnel wound to the right foot and ankle that resulted in recurrent episodes of soft tissue infection and disability is presented. Treatment consisted of excision of the shrapnel fragment, debridement, and primary closure of the sinus tract created by the projectile. The authors discuss the acute and chronic effects of projectile injuries, factors responsible for determining the severity of these wounds, and various methods of treatment.

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Cephalometric Soft Tissue Profile Analysis Between Two Different Ethnic Groups: A Comparative Study

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-4-2-60 ◽

2003 ◽

Vol 4 (2) ◽

pp. 60-73 ◽

Cited By ~ 19

Author(s):

Hayder Abdallah Hashim ◽

Sahar F. Albarakati

Keyword(s):

Soft Tissue ◽

Comparative Study ◽

Ethnic Groups ◽

Profile Analysis ◽

Plane Angle ◽

Lower Lip ◽

Nasal Tip ◽

Caucasian Americans ◽

Soft Tissue Profile ◽

Facial Plane

Abstract The aim of this investigation was to study and compare the cephalometric soft tissue profile analysis between Saudis and Caucasian Americans. The study was carried out using standardized cephalometric radiographs of 56 Saudi subjects (30 males and 26 females) with pleasant and balanced facial profiles, competent lips, normal overjet and overbite, and showing no craniofacial deformities. Subject ages ranged from 22 to 23 years. One skeletal and thirteen soft tissue variables were investigated. F-test, two samples t-test, Mann-Whitney, and Wilcoxon tests were used for data analysis. The results showed no statistical significant differences between the Saudi males and females except for the angle of total facial convexity, soft tissue facial plane angle, lower lip length, sagittal nasal tip to the most protrusive lip distance, and also sagittal chin to the most protrusive lip distance. The Saudi females had a greater angle of total facial convexity and soft tissue facial plane angle than the males. In addition, the females had a shorter lower lip. They also had a short distance between the nasal tip and chin to the most protrusive lip. These results reveal significant differences in most of the soft tissue variables when comparing Saudis with Caucasian Americans as well as in other ethnic groups. Most of these variables are essential for the diagnosis and treatment planning of cases requiring orthodontics and orthognathic surgery. Citation Hashim HA, AlBarakati SF. Cephalometric Soft Tissue Profile Analysis Between Two Different Ethnic Groups: A Comparative Study. J Contemp Dent Pract 2003 May;(4)2:060-073.

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