The Skoog Lip Repair for Unilateral Cleft Lip Deformity: The Uppsala Experience

Falk-Delgado, Alberto; Lang, Anna; Hakelius, Malin; Skoog, Valdemar; Nowinski, Daniel

doi:10.1097/prs.0000000000004321

Cited by 9 publications

(3 citation statements)

References 13 publications

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“…The revision rate of free margin previously reported ranged from 3.8% to 57% at under 10 years of age, approximately 10 years of age, or was unreported. 1,[3][4][5][6] However, these studies lack precise evaluation of the patients after the end of growth. Thus, the post-growth outcome of revision surgery was unknown.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] The revision rates of lip deformities have been reported in the literature, typically based on a single surgeon's experience. 1,[3][4][5][6] Among these, correction of the mucosal free margin was the most common procedure. 1,3 However, the incidence rate of the free margin deformity is not clearly reported in current literature, especially in longterm follow-ups beyond the end of growth.…”

Section: Introductionmentioning

confidence: 99%

“…1–3 The revision rates of lip deformities have been reported in the literature, typically based on a single surgeon's experience. 1,3–6 Among these, correction of the mucosal free margin was the most common procedure. 1,3…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal Morphological Changes in the Mucosal Free Margin After Unilateral Cleft Lip Repair

Nakajima

Yuzuriha

Nagai

2022

The Cleft Palate Craniofacial Journal

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Weakness of the mucosal free margin is common in secondary cleft lip deformities. However, the incidence is rarely reported after a long-term follow-up. We evaluated the evolution of patient mucosal free margin after primary repair and until the end of growth. Blinded retrospective study (photography and chart reviews). Tertiary care hospital; private practice. Forty-eight patients with unilateral cleft lip with or without cleft palate who underwent primary nasolabial repair between 1996 and 2004 were followed up until their end of growth marked at 18 and 16 years of age for male and female patients, respectively. Primary nasolabial repair using a straight-line closure without a triangular flap on the vermilion was performed; if needed, a revision surgery was performed at 5 years of age (85%). The contour of the mucosal free margin was classified into nodular, smooth, and recessed types at 1, 5, and 10 years and at the end of growth. At 1 year of age, the nodular type was more common (58%). However, the recessed type was more common (75%) at the end of growth. The mucosal free margin continued to change after 10 years of age. At the end of growth, half of the patients with incomplete cleft experienced center weakness, and the others had cleft-side weaknesses. Patients with incomplete clefts showed favorable results at early ages. However, two-thirds of the patients with complete and incomplete clefts showed focal weakness at the end of growth.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Longitudinal Morphological Changes in the Mucosal Free Margin After Unilateral Cleft Lip Repair

Nakajima

Yuzuriha

Nagai

2022

The Cleft Palate Craniofacial Journal

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Treating Secondary Cleft Lip Deformity: Surgical Technique and Outcome

Denadai¹,

2022

Current Concept in Cleft Surgery

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A 37-year follow-up after Skoog lip repair of unilateral cleft lip and palate: what is the long-term verdict on lip appearance by different panels?

Peroz,

Falk-Delgado,

Arwidson

et al. 2024

Eur J Plast Surg

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Background The study examined long-term lip appearance after Skoog’s lip repair in unilateral cleft, lip, and palate (UCLP) patients. To include different views, three different panels respectively, rated level of lip appearance and desire for improvement. The secondary aim was to investigate the correlation between the self-reported satisfaction of UCLP patients and controls with the panel assessments. Methods Cropped frontal photographs of the lips of 74 UCLP-treated individuals and 61 non-cleft individuals were assessed twice by three panels of five cleft surgeons (Professional panel), nine laymen (Layman panel), and five individuals with CLP (Cleft panel) using a web-based platform, at a mean follow-up of 37 years post-lip surgery. Results All three panels rated the lip appearance of UCLP patients worse than that of the controls (p < 0.001). The Professional panel reported higher satisfaction levels and less desire to change lip appearance than the Layman and Cleft panels. Intra-rater agreements were, in general, moderate in the Professional panel ICC (0.57–0.82) and Laymen panel ICC (0.63–0.73) and poor in the Cleft panel ICC (0.21–0.36). The inter-rater agreement was, in general, poor in all panels. No significant correlation was found between the patient’s Self-assessments and any of the panel assessments. Conclusions All panels’ rated lip appearance of adults born with UCLP treated with Skoog’s technique as worse than that of non-cleft controls. The study highlights a significant discrepancy between the Professional panel’s more favorable assessment and the more critical views of the laymen and cleft panels, contradicting the initial hypothesis of uniform perception across panels. The lack of correlation between patient self-assessment and panel assessments underscores the subjective nature of lip satisfaction, emphasizing the need for personalized patient care strategies in CLP treatment outcomes. Level of evidence Not gradable.

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The Skoog Lip Repair for Unilateral Cleft Lip Deformity: The Uppsala Experience

Abstract: Therapeutic, IV.

Cited by 9 publications

References 13 publications

Longitudinal Morphological Changes in the Mucosal Free Margin After Unilateral Cleft Lip Repair

Longitudinal Morphological Changes in the Mucosal Free Margin After Unilateral Cleft Lip Repair

Treating Secondary Cleft Lip Deformity: Surgical Technique and Outcome

A 37-year follow-up after Skoog lip repair of unilateral cleft lip and palate: what is the long-term verdict on lip appearance by different panels?

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