Evaluation of 5-year-old children with complete cleft lip and palate: Multicenter study. Part 1: Lip and nose aesthetic results

Effects of labial adhesion on maxillary arch dimensions and nasolabial esthetics in cleft lip and palate: a systematic review

“…In unilateral CLP, their protocol with labial adhesion showed average results in terms of septum deviation, alar wrapping, and alar base width and good to excellent results in terms of alar flattening, columella length, and muscular dehiscence. In bilateral CLP, the protocol with labial adhesion showed average results in terms of alar wrapping and philtrum width, and good to excellent results in terms of muscular dehiscence, default of prolabium inclusion, and nasal asymmetry (Dissaux et al , ).…”

“…Eight studies (Meijer, 1978;Vander Woude and Mulliken, 1997;Millard et al, 1999;Prasad et al, 2000;Cho, 2006;Gatti et al, 2010;Ridgway et al, 2011;Hak et al, 2012) worked with prospectively collected data and more than half of the studies were published after 2005 (Cho, 2006;Nagy and Mommaerts, 2009;Gatti et al, 2010;Ridgway et al, 2011;Hak et al, 2012;Dissaux et al, 2015). Twelve studies (Meijer, 1978;Rintala and Haataja, 1979;Van der Beek et al, 1992;Vander Woude and Mulliken, 1997;Millard et al, 1999;Prasad et al, 2000;Bitter, 2001;Cho, 2006;Nagy and Mommaerts, 2009;Gatti et al, 2010;Ridgway et al, 2011;Dissaux et al, 2015) included 20 patients or more who underwent labial adhesion, with a maximum of 124 patients (Millard et al, 1999). The included studies showed substantial methodological and clinical heterogeneity, so data of these studies could not be pooled by meta-analysis.…”

“…Table shows the data concerning the epidemiology of labial adhesion for the overall number of patients. Three studies (Prasad et al , ; Hak et al , ; Dissaux et al , ) reported the number of surgeons performing the labial adhesion and the follow‐up period varied between 1.7 and 144 months. Labial adhesion was performed in between 2 and 171 days after birth.…”

“…Techniques described by Millard (Millard et al , ; Prasad et al , ; Cho, ), Collioto and Walker (Meijer, ; Van der Beek et al , ), Randall (Gatti et al , ), and Mulliken (Vander Woude and Mulliken, ; Ridgway et al , ) were used as surgical intervention for labial adhesion in patients with unilateral CLP. In bilateral CLP, labial adhesion was used as single preliminary step for definitive lip closure (Rintala and Haataja, ; Van der Beek et al , ; Millard et al , ; Bitter, ; Gatti et al , ) and in combination with passive (Nagy and Mommaerts, ; Hak et al , ) or active (Millard et al , ; Dissaux et al , ) infant orthopedics. No articles with a combination of labial adhesion and nasoalveolar molding were found.…”

“…Table 3 shows the data concerning the surgical techniques used in complete unilateral and bilateral cleft lip and palate. In unilateral CLP, labial adhesion was used as single preliminary step for definitive lip closure (Meijer, 1978;Rintala and Haataja, 1979;Van der Beek et al, 1992;Vander Woude and Mulliken, 1997;Millard et al, 1999;Gatti et al, 2010;Ridgway et al, 2011;Dissaux et al, 2015), in combination with passive (Millard et al, 1999;Prasad et al, 2000;Cho, 2006;Nagy and Mommaerts, 2009) and active (Ridgway et al, 2011) infant orthopedics, and in combination with nostril suspension (Wakami et al, 2011). No articles with a combination of labial adhesion and nasoalveolar molding were found.…”