Reconstruction of the oral commissure in patients with unilateral transverse facial cleft

Mireguli, Tuersunjiang; Long, Xing; Fu, Yuchuan; Jin, Ke; He, Hong; Li, J.

doi:10.1016/j.bjoms.2018.06.020

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Some authors have assisted the utility of Z-plasty in reducing scar length. 20 It was not applicable to this patient because there was no skin redundancy or length mismatch. For the above mentioned reasons, we used straight-line technique for cheek skin closure.…”

Section: Discussionmentioning

confidence: 99%

Single-stage Repair of Bilateral Cleft Lip and Bilateral Transverse Facial Cleft in Goldenhar Syndrome: A Case Report

Kim

Lim

2023

The Cleft Palate Craniofacial Journal

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Goldenhar syndrome (GS) is a rare congenital disorder characterized by multiple facial anomalies. This case report describes a GS presenting with bilateral cleft lip and palate and bilateral transverse facial cleft. We performed a single-stage surgery to repair the bilateral cleft lip and bilateral transverse facial cleft when the patient was 4-months-old. Bilateral cleft lip repair using the Mulliken method was performed first, and then the bilateral transverse facial cleft was corrected. Orbicularis oris muscle repair was done at each clefts. Anatomical approximation technique was used and the final oral commissure was determined considering symmetry. Satisfactory outcomes were achieved without complications.

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Section: Discussionmentioning

confidence: 99%

Single-stage Repair of Bilateral Cleft Lip and Bilateral Transverse Facial Cleft in Goldenhar Syndrome: A Case Report

Kim

Lim

2023

The Cleft Palate Craniofacial Journal

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“…3, 10 Tuersunjiang dissected the zygomaticus major and risorius muscles and overlapped the muscle bundles to imitate the normal modiolus. 18 Meanwhile, Tse et al refrained from performing excessive muscle dissections to prevent overt tissue trauma and scarring. 19 Instead, they added detail to myoplasty: preservation of the "J" shape of the orbicularis oris contributes to the pout of the lip.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Long-Term Outcomes of Transverse Facial Cleft Repair

Kim,

Lim

2023

The Cleft Palate Craniofacial Journal

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Objective To evaluate the long-term outcomes of linear commissuroplasty and linear skin closure with a focus on commissural migration. Design Retrospective study. Patients Individuals who underwent transverse facial cleft repair at a single institution between 2004 and 2021. Interventions The disrupted orbicularis oris muscle was reoriented and sutured. A simple linear commissuroplasty technique was used, and the cheek skin was closed linearly without Z-plasty. Main outcome measures The distances from Cupid's bow peak to the oral commissure were measured bilaterally, and the difference between the normal and cleft sides was obtained. Finally, its proportional value as a percentage of the total lip length was calculated from short- and long-term follow-up photographs. Cheek scarring and its effects on melolabial fold breakage were evaluated. Results Of the 18 patients who underwent transverse facial cleft repair, 12 were included in this study. The mean follow-up period based on medical photographs was 1773.5 days. The average proportional difference was 4.6%, demonstrating no observable commissural migration. There were no consistent trends in the direction of migration, either on the cleft or normal side. In patients with a transverse cleft crossing the melolabial fold, the folds appeared broken before and after the cleft repair surgery. Conclusions No significant long-term commissural migration was observed after transverse facial cleft repair with simple linear commissuroplasty and linear skin closure. Deliberate positioning of the new oral commissure, proper myoplasty, and meticulous skin closure with minimal scar burden can be considered key procedures for successful transverse cleft repair.

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Transverse facial cleft (macrostomia) repair: Modification of a traditional technique

Zhou

Zhu

Shi

et al. 2019

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Reconstruction of the oral commissure in patients with unilateral transverse facial cleft

Cited by 3 publications

References 10 publications

Single-stage Repair of Bilateral Cleft Lip and Bilateral Transverse Facial Cleft in Goldenhar Syndrome: A Case Report

Single-stage Repair of Bilateral Cleft Lip and Bilateral Transverse Facial Cleft in Goldenhar Syndrome: A Case Report

Evaluation of Long-Term Outcomes of Transverse Facial Cleft Repair

Transverse facial cleft (macrostomia) repair: Modification of a traditional technique

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