Objective evaluation of vertical Z-plasty with double transposition vermillion flaps for secondary whistling deformity correction: A method for uni- and bilateral correction

Scheller, Konstanze; Bolz, J.; Scheller, Christian; Hetzer, Roland

doi:10.1016/j.jcms.2019.07.010

Cited by 9 publications

(1 citation statement)

References 25 publications

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“…A review by Sitzman et al (2016) shows that the majority of lip revision surgery is performed to correct deformities of the vermillion border, without mentioning, however, whether these were “typical” or “atypical” deformities. Scheller et al (2019) reported that a whistling deformity is the most corrected secondary deformity concerning the lip, and Henkel et al (1998) reported that out of 126 patients with repaired UCLP, 17 (13%) patients received corrective surgery due to inequality in lip segments and for 36 (29%) patients the reason for revision was a whistling deformity. Also, Mulliken & Martinez (1999) assessed secondary revision rates in 105 patients with repaired UCLP.…”

Section: Discussionmentioning

confidence: 99%

Atypical Outcomes of Nasal and Lip Appearance After Unilateral Cleft Lip Repair: Judgment by Professionals, Patients, and Laypeople

Tan

Mulder

Schwirtz

et al. 2021

The Cleft Palate Craniofacial Journal

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Objective: To gain more insight into the assessment of “atypical” nasal and lip appearance outcomes compared to “typical” appearance outcomes after unilateral cleft lip and palate (UCLP) repair, when judged by professionals, patients with repaired UCLP, and laypeople. Design: An online survey containing 3 series of photographs with various degrees of “typical” and “atypical” nasal and lip appearance outcomes after UCLP repair was sent to 30 professionals, 30 patients with repaired UCLP, and 50 laypeople in 2 countries. Participants were instructed to rank the photographs from excellent to poor based on overall appearance. Mean rank positions of photographs were analyzed and differences in mean rank score between “typical” and “atypical” results were assessed using a T-test. Agreement of ranking between the 3 groups was assessed with an analysis of variance analysis. Setting: Amsterdam UMC, location VUmc, Netherlands and Boston Children’s Hospital, Boston, USA. Patients: Photographs of 6- to 18-year-old patients with repaired UCLP. Results: “Atypical” appearance outcomes were ranked significantly less favorably (small nostril: P = 0.00; low vermillion border: P = 0.02; whistling deformity: P = 0.00) compared to “typical” outcomes. Difference between professionals, patients and laypeople in rank positioning the photographs was not statistically significant ( P = 0.89). Conclusions: Noses with a smaller nostril and lips containing a whistling deformity were perceived as poorer outcome compared to the “typical” results. Professionals, patients, and laypeople are in agreement when assessing these outcomes.

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