Primary Septoplasty in the Repair of Unilateral Complete Cleft Lip and Palate

Gosla-Reddy, Srinivas; Nagy, Kornél; Mommaerts, Maurice Y.; Reddy, Rajgopal R.; Bronkhorst, Ewald M.; Prasad, Rajendra; Kuijpers-Jagtman, A.M.; Bergé, Stefaan

doi:10.1097/prs.0b013e318200a97a

Cited by 43 publications

(29 citation statements)

References 24 publications

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“…72 No alteration in maxillary growth was reported 73 and other surgeons report similar favorable results. 39,[74][75][76] The caudal septum is approached via the medial lip incision and is found behind an often bifid anterior nasal spine. Firm attachments on the noncleft side need to be released to unfurl the cartilage and reposition it to the midline of the face.…”

Section: Nasal Septummentioning

confidence: 99%

Unilateral Cleft Lip: Principles and Practice of Surgical Management

Tse

2013

Seminars in Plastic Surgery

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Management of cleft lip and palate requires a unique understanding of the various dimensions of care to optimize outcomes of surgery. The breadth of treatment spans multiple disciplines and the length of treatment spans infancy to adulthood. Although the focus of reconstruction is on form and function, changes occur with growth and development. This review focuses on the surgical management of the primary cleft lip and nasal deformity. In addition to surgical treatment, the anatomy, clinical spectrum, preoperative care, and postoperative care are discussed. Principles of surgery are emphasized and controversies are highlighted.

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Section: Nasal Septummentioning

confidence: 99%

Unilateral Cleft Lip: Principles and Practice of Surgical Management

Tse

2013

Seminars in Plastic Surgery

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“…This lip score was adapted [19] to determine the lip asymmetry in the second period of time (T2) (Figure 1). …”

Section: Patient and Methodsmentioning

confidence: 99%

Lip Height Improvement during the First Year of Unilateral Complete Cleft Lip Repair Using Cutting Extended Mohler Technique

Raposo-Amaral

Giancolli

Denadai

et al. 2012

Plastic Surgery International

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Objective. To compare the cutaneous lip height at early and late postoperative periods and to objectively determine the average amount of lip height improvement during the first year of unilateral complete cleft lip repair using Cutting extended Mohler technique. Methods. In this prospective cohort study, 26 unilateral complete cleft patients and 50 noncleft subjects were included. Photographs were taken between 12 and 16 weeks (T1) and also taken between 12 and 13 months after surgery (T2). The cutaneous lip height distance (photogrammetric lip analysis) obtained in these two periods of time were measured and statistically analyzed. Results. The average lip heights were 24% ± 9% in T1 and 8% ± 6% in T2 (P < 0.01). The average lip height asymmetry in the noncleft individuals was 4.52% ± 1.89%. Conclusion. Since all principles to obtain a symmetrical Cupid's bow were performed, the postoperative pull-up of Cupid's bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.

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“…The new structure has to ossify in the advanced position and must be rigidly stabilized with titanium plates for about 8 months, and is removed after 8 to 1 0 months. Standardized clinical pre-and postoperative photometric studies have been validated and largely used in the evaluation of craniofacial M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT malformations to verify the effects of surgical treatments in the correction of these conditions (Nakamura et al, 2001;Gosla-Reddy et al, 2011;Meara et al, 2003;Oh et al, 2008). In 2004, Zonenshayn described a simple and objective photographic method for determining the degree of cranial deformity through hemisphere superimposition.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%