Persistent symptomatic anterior oronasal fistulae in patients with Veau type III and IV clefts: A therapeutic protocol and outcomes

Denadai, Rafael; Seo, Hyung Joon; Lo, Lun-Jou

doi:10.1016/j.bjps.2019.05.033

Cited by 17 publications

(10 citation statements)

References 37 publications

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“…The DFG could also be added in a major secondary cleft lip revision (Figure 3). Another advantage of the use of DFG is that some portion of the harvested DFG could be used for a combined procedure, if indicated, such as nasal dorsum augmentation or closure of anterior hard palate oronasal fistula (Hwang et al, 2003; Denadai et al, 2020). If a patient has an underlying maxillary insufficiency, orthognathic surgery is performed before lip revision with DFG (Figure 4).…”

Section: Discussionmentioning

confidence: 99%

Aesthetic Enhancement of the Vermilion Using Dermofat Graft in Patients With Cleft Lip Deformity

Chung

deLeeuw

Lin

et al. 2021

The Cleft Palate-Craniofacial Journal

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Background: There is an increasing patient expectation for better esthetics, manifesting through anatomical harmony, projection, and volume of the upper lip relative to the lower lip, in patients with cleft deformity. The aim of this study is to investigate the outcome of vermilion augmentation using autologous dermofat graft (DFG) to enhance the lip using both quantitative and qualitative assessment. Methods: Patients with secondary cleft lip deformity who received the surgical treatment in our institution from 2015 to 2018 were recruited. Panel assessment was performed on standardized preoperative and postoperative digital photographs. A patient questionnaire was used for the reported outcome. Image processing and analyses were applied to measure the lip change. Statistical analyses were performed. Results: A total of 91 patients were included. The mean age at operation was 22.7 years, and postoperative follow-up was 3.6 years. There were no complications in the study group. The panel assessment showed significant improvement ( P < .00001) on upper lip vermilion in both frontal and lateral profile views. Ninety-five percent of patients reported improvement of the upper lip projection and volume. Quantitative image analysis showed an increase in the upper lip vermilion ratio in 97% of the cases in frontal views and improvement of the vermilion projection in 87% of the cases in the superimposed lateral views. Conclusions: The use of DFG is an effective and reproducible method for vermilion augmentation and aesthetic enhancement in patients presenting with upper lip insufficiency relative to the lower lip.

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Section: Discussionmentioning

confidence: 99%

Aesthetic Enhancement of the Vermilion Using Dermofat Graft in Patients With Cleft Lip Deformity

Chung

deLeeuw

Lin

et al. 2021

The Cleft Palate-Craniofacial Journal

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“…Any unnecessary palatal dissection can compromise the vascularization of sutured mucosa and, consequently, result in early dehiscence with possible flap detachment and the resulting defect would be much larger than the initial defect [28]. A very high failure rate has been associated with attempted palatal fistula repair, sometimes as high as 65% [25].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Double-Layer Closure Of Anterior Palatal Fistula in Secondary Management Of Bilateral Cleft Lip And Palate

Shqera¹

2021

IJDOS

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“…Moreover, using the modified T-flap-based approach with no L flap, no need for revisionary intervention has been noted in long-term clinical follow-up for the alar base positioning, augmentation of a restricted labial sulcus, or correction of a symptomatic alveolar fistula (Pai et al, 2019). Only a small parcel of patients treated with this approach present with persistent symptomatic alveolar fistulae (Denadai et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

A Surgical and Educational Video of the Inferior Turbinate Mucosal Flap for the Nasal Floor and Intraoral Reconstruction in Unilateral Complete Cleft Lip Repair

Denadai

Chou

Jung

et al. 2020

The Cleft Palate-Craniofacial Journal

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Since the original description of Millard rotation advancement principle for cleft lip repair, many important contributions have subsequently been described by other surgeons worldwide. However, the reconstruction of the nasal floor and intraoral lining has received less attention over time. This article demonstrates a modified unilateral complete cleft lip repair using the rotation advancement principle plus multipurpose inferior turbinate mucosal flap. The accompanying videos display the 10 key steps for rationale, design, and proper execution of the inferior turbinate mucosal flap for the nasal floor and intraoral reconstruction.

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Persistent symptomatic anterior oronasal fistulae in patients with Veau type III and IV clefts: A therapeutic protocol and outcomes

Cited by 17 publications

References 37 publications

Aesthetic Enhancement of the Vermilion Using Dermofat Graft in Patients With Cleft Lip Deformity

Aesthetic Enhancement of the Vermilion Using Dermofat Graft in Patients With Cleft Lip Deformity

Evaluation of Double-Layer Closure Of Anterior Palatal Fistula in Secondary Management Of Bilateral Cleft Lip And Palate

A Surgical and Educational Video of the Inferior Turbinate Mucosal Flap for the Nasal Floor and Intraoral Reconstruction in Unilateral Complete Cleft Lip Repair

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