Congenital lower lip fistulas with bilateral cleft lip and palate.

Introduction : Lip pits are unusual congenital anomalies affecting the lip, first described by DeMurquay in 1845. Lip pits can encounter aesthetic problem thus the patient ask for surgical overcome. Case Report : A 4-year-old girl patient came with double lower lip pits that present since birth with bilateral cleft lip and palate. The pits made a mucous accumulation occurs during mealtimes and crying, and felt aesthethic discomfort. The surgery was performed by simple excision combined with split-lip advancement technique under general anaesthesia and the excised pits was then analized for histopatological structures. The patient has no aesthetic defect after surgery. Discussion : Congenital lip pits are developmental anomalies that occur as an isolated defect or either in association with other developmental disturbances. It happens due to notching of lip at an early stage of development with fixation of tissues of the base of the notch or from a failure of complete union of embryonic lateral sulci of the lip. Lip pits can be shallow or deep, and may be associated with accessory salivary glands. The treatment is usually surgical excision with removal of entire fistulous tract. Conclusion : Surgical removal of lip pits is commonly for cosmetic purpose. It must be treated wisely because lips are essential part of someones face.

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Evaluation of Lip Morphology and Nasolabial Angle in Non-Syndromic Cleft Lip and/Palate and Non-Cleft Individuals

Applied Sciences ◽

10.3390/app12010357 ◽

2021 ◽

Vol 12 (1) ◽

pp. 357

Author(s):

Mohammad Khursheed Alam ◽

Ahmed Ali Alfawzan ◽

Fatema Akhter ◽

Haytham Jamil Alswairki ◽

Prabhat Kumar Chaudhari

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Upper Lip ◽

Lateral Cephalogram ◽

Lower Lip ◽

Nasolabial Angle ◽

Bilateral Cleft Lip ◽

Different Types ◽

The Mean ◽

Two Parameters

Objective: To investigate the variation between the non-syndromic cleft lip and/or palate (NSCLP) and non-cleft (NC) subjects in relation to the lip morphology (LM) and nasolabial angle (NLA). Materials and Methods: Lateral cephalogram (Late. Ceph.) of 123 individuals (92 NSCLP [29 = bilateral cleft lip and palate (BCLP), 41 = unilateral cleft lip and palate (UCLP), 9 = unilateral cleft lip and alveolus (UCLA), 13 = unilateral cleft lip (UCL)], and 31 NC) who did not undergo any orthodontic treatment were investigated. By WebCeph, an artificial intelligence- (A.I.) driven software, 2 (two) parameters of LM, namely upper lip to E line (LM-1) and lower lip to E line (LM-2), and NLA analysis was carried out for each individual. Multiple tests were carried out for statistical analysis. Results: The mean ± SD observed for LM-1, LM-2, and NLA for NC individuals were 1.56 ± 2.98, 0.49 ± 3.51, and 97.20 ± 16.10, respectively. On the other hand, the mean ± SD of LM-1, LM-2, and NLA for NSCLP individuals were 4.55 ± 4.23, 1.68 ± 2.82, and 82.02 ± 14.66, respectively. No significant variation was observed with respect to gender and side. NSCLP (different types) and NC individuals showed significant disparities in LM-1 and NLA. Conclusion: It can be concluded that parameters of lip morphology such as LM-1, LM-2, and NLA vary among NSCLP and NC individuals.

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Growth of the Vomero-Premaxillary Suture in Children with Bilateral Cleft Lip and Palate

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery ◽

10.3109/02844317609169745 ◽

1976 ◽

Vol 10 (1) ◽

pp. 45-55 ◽

Cited By ~ 37

Author(s):

Hans Friede ◽

Peter Morgan

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Bilateral Cleft Lip

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Current Trends in the Treatment of Bilateral Cleft Lip and Palate

Oral and Maxillofacial Surgery Clinics of North America ◽

10.1016/s1042-3699(20)30201-6 ◽

2000 ◽

Vol 12 (3) ◽

pp. 421-441 ◽

Cited By ~ 1

Author(s):

Jean Claude Talmant

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Current Trends ◽

Bilateral Cleft Lip

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Speech in a consecutive series of children born with cleft lip and palate with and without syndromes and/or additional malformations

BMC Pediatrics ◽

10.1186/s12887-021-02783-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kristina Klintö ◽

Maria Sporre ◽

Magnus Becker

Keyword(s):

Cleft Palate ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Consecutive Series ◽

Total Group ◽

One Stage ◽

Audio Recordings ◽

Bilateral Cleft Lip ◽

Palatal Surgery ◽

Group Comparisons

Abstract Background When evaluating speech in children with cleft palate with or without cleft lip (CP/L), children with known syndromes and/or additional malformations (CP/L+) are usually excluded. The aim of this study was to present speech outcome of a consecutive series of 5-year-olds born with CP/L, and to compare speech results of children with CP/L + and children with CP/L without known syndromes and/or additional malformations (CP/L-). Methods One hundred 5-year-olds (20 with CP/L+; 80 with CP/L-) participated. All children were treated with primary palatal surgery in one stage with the same procedure for muscle reconstruction. Three independent judges performed phonetic transcriptions and rated perceived velopharyngeal competence from audio recordings. Based on phonetic transcriptions, percent consonants correct (PCC) and percent non-oral errors were investigated. Group comparisons were performed. Results In the total group, mean PCC was 88.2 and mean percent non-oral errors 1.5. The group with bilateral cleft lip and palate (BCLP) had poorer results on both measures compared to groups with other cleft types. The average results of PCC and percent non-oral errors in the CP/L + group indicated somewhat poorer speech, but no significant differences were observed. In the CP/L + group, 25 % were judged as having incompetent velopharyngeal competence, compared to 15 % in the CP/L- group. Conclusions The results indicated relatively good speech compared to speech of children with CP/L in previous studies. Speech was poorer in many children with more extensive clefts. No significant differences in speech outcomes were observed between CP/L + and CP/L- groups.

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Description of transverse maxillary expansion in patients with bilateral cleft lip and palate undergoing gingivoperiosteoplasty with alveolar bone graft. A preliminary study

Journal of Dentofacial Anomalies and Orthodontics ◽

10.1051/odfen/2014030 ◽

2015 ◽

Vol 18 (1) ◽

pp. 108

Author(s):

N. Niez ◽

K. Nham ◽

B. Vi-Fane

Keyword(s):

Bone Graft ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Maxillary Expansion ◽

Bilateral Cleft Lip ◽

Preliminary Study

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Craniofacial Morphology in Children with Complete Bilateral Cleft Lip and Palate: Does Infantile Size of the Premaxilla Predetermine Outcome?

The Cleft Palate-Craniofacial Journal ◽

10.1597/03-021.1 ◽

2004 ◽

Vol 41 (4) ◽

pp. 410-415 ◽

Cited By ~ 6

Author(s):

Yu-Fang Liao ◽

Chiung-Shing Huang ◽

Ya-Yu Tsai ◽

M. Samuel Noordhoff

Keyword(s):

Retrospective Study ◽

Outcome Measures ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Craniofacial Morphology ◽

University Hospital ◽

Cephalometric Analysis ◽

Bilateral Cleft Lip ◽

Dental Cast ◽

Craniofacial Characteristics

Objective To evaluate the possible association between the size of the premaxilla in infants and craniofacial morphology in children with complete bilateral cleft lip and palate (CBCLP) and identify the characteristics of craniofacial morphology in children with CBCLP with median facial dysplasia (MFD). Design Retrospective study. Setting A university hospital craniofacial center. Subjects Thirty-four patients with nonsyndromic CBCLP, 24 boys and 10 girls, had large premaxilla (LP group). Thirty-six patients with nonsyndromic CBCLP, 16 boys and 20 girls, had small premaxilla (SP group). Thirteen CBCLP patients with MFD, five boys and eight girls (MFD group). Main Outcome Measures Infant maxillary dental cast at the age of 1 year was used to measure the size of the premaxilla. Cephalometric analysis was used to determine craniofacial morphology in children at the age of 5 years. Results The size of the premaxilla in infants with CBCLP varied greatly. The LP group tended to have a longer maxilla and a more protruded maxilla, producing a better interjaw relation. The opposite phenomena were observed in the MFD group; the SP group yielded results between those of the LP and the MFD groups. Conclusion The size of the premaxilla in infants with CBCLP can be used to predetermine subsequent craniofacial morphology at the age of 5 years. Children with nonsyndromic CBCLP had craniofacial characteristics that differed significantly from those of children with CBCLP with median facial dysplasia.

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