Midline cleft of upper lip: Review and surgical repair

Deshpande, Gaurav; Campbell, Alex; Jagtap, Rasika; Restrepo, Carolina

doi:10.1016/j.bjps.2014.01.032

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…The extensive and landmark study performed by Masayuki Ichida et al in the year 2009 to review all the median cleft lips that were reported in Japan concluded that the true median cleft of upper lip is higher in incidence with a predilection for female sex. These results were similar to the results obtained on detailed review on the median cleft lip performed by other authors both in the past and also after their landmark study [6,10,11,13,19,20]. These results were confirmed in our study too.…”

Section: Discussionsupporting

confidence: 94%

“…These results were confirmed in our study too. The reported case series by other authors also have shown that the female predilection of the median cleft lips is higher when compared to that of the males in the Indian population [19,20]. The higher female sex prediction of this deformity points to further genetic study which needs to be carried out for determination of the sex predilection of the deformity.…”

Section: Discussionmentioning

confidence: 85%

“…There is a low prevalence rate of such clefts without much description of surgical techniques to correct the same [11,[18][19][20]. Various authors in recent past have attempted to classify this entity depending upon their clinical presentation.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of True Median Cleft of Upper Lip as Reflected from a Small Central Indian Population: Attempt to Report and Review the True Median Cleft of Upper Lip

Dube

Jain

2017

J. Maxillofac. Oral Surg.

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Aims and Objectives The median clefts of the facial skeleton and soft tissue are least in occurrence. Here we have attempted to analyze and review the prevalence of median clefts in our center. Materials and Methods All the patients who reported with congenital deformities from January 2013 to June 2016 were included in the study. A detailed list of patients was then re-evaluated to preclude duplication of the record which could have occurred during the admission process. All the characteristics which can be evaluated epidemiologically were individually tabulated and evaluated in detail. Results Out of the 1184 patients included in the study only 2 were affected with median cleft. The prevalence of true median cleft was hence determined to be 0.17% among the cleft population. Conclusion The prevalence of the true median cleft lip is rare and hence makes it difficult to classify these clefts, and also the treatment protocol needs to be fabricated for the treatment of such clefts.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 85%

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Prevalence of True Median Cleft of Upper Lip as Reflected from a Small Central Indian Population: Attempt to Report and Review the True Median Cleft of Upper Lip

Dube

Jain

2017

J. Maxillofac. Oral Surg.

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“…The online version of this article (https://doi.org/10.1007/s00381-020-04890-2) contains supplementary material, which is available to authorized users. [3][4][5]. OHT must be contrasted with "pseudo-hypertelorism," more commonly known as telecanthus, a manifestation of increased inner intercanthal distance without true bony movement of the lateral orbital wall.…”

Section: Electronic Supplementary Materialsmentioning

confidence: 99%

A critical appraisal of surgical outcomes following orbital hypertelorism correction: what is the incidence of true bony relapse versus soft tissue telecanthus?

Shakir

Swanson

et al. 2020

Childs Nerv Syst

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Background Orbital hypertelorism (OHT) represents a congenital condition defined by lateralization of the bony orbit, unlike soft tissue telecanthus in which there is an increase in intercanthal distance without true bony lateralization. Existing literature remains very limited in its postoperative assessment of bony versus soft tissue relapse, which may both clinically present as telecanthus. We performed a critical appraisal of the literature to determine the postoperative incidence of bony versus soft tissue relapse following OHT repair. Methods The PubMed, MEDLINE, EMBASE, Scopus, Cochrane Central Register of Controlled Trials, and clinicaltrials.org were searched systematically for all English studies published in any time frame reporting relapse rates following primary OHT repair. The primary outcome was incidence of bony and soft tissue relapse defined as orbital lateralization and medial canthal drift, respectively. The secondary outcome measures include postoperative complications, predictors of postoperative complications, timing and type of surgery, and revision rates. Results Eleven articles were included. A total of 84 (35.3%) patients experienced bony relapse while 43 (27.2%) patients experienced soft tissue relapse. Age at time of intervention (p < 0.92), severity at presentation (p < 0.90), and surgical technique (p < 0.09) were not found be significantly associated with relapse rate. Methods for long-term follow-up were not standardized, and there was no consistent measure to objectively assess telecanthus. Conclusions There is no general consensus on predictive factors of long-term relapse following OHT repair in the form of box osteotomy or facial bipartition. These findings call for cross-sectional outcome standardization to better understand long-term outcomes across institutional, provider, and patient differences.

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“…As this model carefully ties high clinical volume with academic interests, research done through Operation Smile local centers has resulted in over 25 publications, [16][17][18][19][20][21][22][23][24][25][26] with almost 20 coming from GC4 alone. 10,[13][14][15][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] Operation Smile India spent 2 preliminary years studying the government, culture, and infrastructure of Assam to develop the successful model for sustainable care that is GC4. 14,15,27 Unique methods were developed to recruit patients through nonmedical screening personnel in the community, because 87% of the population of Assam lives in rural and isolated areas.…”

Section: Research In a High-volume Cleft Centermentioning

confidence: 99%

The Expanding Role of Education and Research in International Healthcare

Jones

Campbell

Magee

et al. 2016

Annals of Plastic Surgery

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A recent report of the Lancet Commission on Global Surgery has continued to emphasize the importance of surgery in global health. Plastic surgeons have been involved in humanitarian care of children in developing countries for many years. The ability to repair children with cleft lip and palate in resource-poor settings has made this desirable for many plastic surgeons. A number of philanthropic plastic surgery organizations arose to deal with the problem in a more structured way. Dr. Donald Laub at Stanford established Interplast (now ReSurg) in 1969. Dr. Bill and Kathy Magee established Operation Smile in 1982, and many others have followed. The unifying theme of these organizations has been the desire to provide safe and effective surgical care to children who would otherwise be forced to live out their lives with deformity. Most care has been for children with clefts, but efforts have expanded to include hand surgery and burn reconstruction. The initial effort was provided through surgical missions. A paradigm shift has occurred as sustainability and local capacity have become paramount. Education and training of local colleagues and assistance in surgical safety infrastructure are expanding the reach of plastic surgical care around the globe. The inauguration of in-country permanent surgical centers allows high-volume outcomes research, as well as unique educational collaboration between plastic surgeons of both the developed and developing world.

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Midline cleft of upper lip: Review and surgical repair

Cited by 3 publications

References 3 publications

Prevalence of True Median Cleft of Upper Lip as Reflected from a Small Central Indian Population: Attempt to Report and Review the True Median Cleft of Upper Lip

Prevalence of True Median Cleft of Upper Lip as Reflected from a Small Central Indian Population: Attempt to Report and Review the True Median Cleft of Upper Lip

A critical appraisal of surgical outcomes following orbital hypertelorism correction: what is the incidence of true bony relapse versus soft tissue telecanthus?

The Expanding Role of Education and Research in International Healthcare

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