Lip Adhesion

Seibert, Robert W.

doi:10.1055/s-2008-1064612

Cited by 10 publications

(23 citation statements)

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“…[141454–58] Lip adhesion, as part of the POPLA procedure, was implied in both unilateral and bilateral clefts patients. [3] We advocate lip adhesion in all patients with complete cleft lip, both unilateral and bilateral, with cleft palate or occasionally with P1 cleft of exceptional severity.…”

Section: Discussionmentioning

confidence: 99%

“…[137–8141851–5456–57] In our series, lip adhesion was performed at an average age of five weeks. This allows time for the infants to gain weight, for paediatricians to rule out concomitant malformations or diseases, and for parents to prepare for the burden of cleft children care.…”

Section: Discussionmentioning

confidence: 99%

“…[13481451–5356–59] Marginal excisions of the cleft edges and interdigitation behind the prolabium, triangular mucosal flaps, and short, broad-based rectangular ones were recommended. [4719] The C-W technique designed flaps from the vermilion.…”

Section: Discussionmentioning

confidence: 99%

“…[13–5851–5457–59] Muscle pull is essential for the moulding effect on maxillary arch segments. [16] Some addressed nasal deformity during lip adhesion and coined the term, the lip-nasal adhesion, to describe the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The principle is to convert a complete cleft into an incomplete one. The manoeuvre facilitates definitive closure[2–7] reduces the lip/nasal deformity by moulding of the maxillary segments[18] and facilitates feeding. [18]…”

Section: Introductionmentioning

confidence: 99%

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Lip adhesion revisited: A technical note with review of literature

Nagy¹,

Mommaerts²

2009

Indian J Plast Surg

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Context (Background):Lip adhesion is a direct edge approximation without changing lip landmarks or disturbing tissue required for definitive closure. This converts a complete cleft into an incomplete cleft, facilitating and enhancing subsequent definitive lip and nose repair.Aim:The study aims to describe our technique of lip adhesion and its morbidity, and discuss the rationale for its use.Settings and Design:Retrospective follow-up study of complete clefts operated upon in the Bruges Cleft and Craniofacial Centre, at the supra regional teaching hospital AZ St. Jan, Bruges, between June 1, 1991 and May 1, 2009.Methods and Material:The group comprised 33 unilateral and 24 bilateral lip adhesion procedures. The medical files were reviewed for changes in surgical technique, morbidity, and complications and their treatment.Results:The lip adhesion procedure was performed at the age of two to eight weeks postnatal, and definitive lip closure, at the age of four to six months. In all cases, segment repositioning was further controlled by a palatal guidance plate. Wound dehiscence occurred in eight patients (14.0%), and three patients (5.3%) required reoperation.Conclusions:Although complications occurred, the beneficial effects of lip adhesion in combination with a guidance plate outweighed the risks for anatomical reconstruction of a platform for definitive lip and nose repair. Modifications are suggested to reduce these complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Lip adhesion revisited: A technical note with review of literature

Nagy¹,

Mommaerts²

2009

Indian J Plast Surg

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Presurgical Orthopedics

Senders

1996

Facial Plastic Surgery Clinics of North America

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68 Evaluation and Management of Cleft Lip and Palate Disorders

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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The palatal shelves are initially separated by the developing tongue. Growth of the mandible is associated with inferior displacement of the tongue, which allows the palatal shelves to migrate superiorly and assume a horizontal orientation. The "shelf elevating force" that causes the upward motion of the shelves is believed to be mediated by a process involving mesenchymal proliferation and growth factor-induced changes in local extracellular matrix, including hydration of hyaluronic acid in the tips of the shelves. 5,6 If fetal development and mandibular growth do not proceed normally, the tongue does not descend and the palatal shelves cannot migrate superiorly and medially, despite the shelf elevating force. The resulting malformation can result in the Pierre Robin sequence (micrognathia, relative macroglossia, and U-shaped cleft palate) (Fig. 68.3). 7 Fig. 68.1 The developing human face at 5.5 weeks of gestational age. The primary palate is formed by fusion of the paired medial nasal prominences (a). The lateral nasal prominence (b) becomes the nasal ala. The maxillary process (c) forms the upper lip segments lateral to the philtrum. The mandibular process (d) becomes the mandible.This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

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Lip Adhesion

Cited by 10 publications

References 0 publications

Lip adhesion revisited: A technical note with review of literature

Lip adhesion revisited: A technical note with review of literature

Presurgical Orthopedics

68 Evaluation and Management of Cleft Lip and Palate Disorders

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