Constructing the Philtral Column in the Secondary Cleft Lip Deformity

Lim, Alan A.; Allam, Karam A.; Taneja, Rashmi; Kawamoto, Henry K.

doi:10.1097/sap.0b013e3182326ef3

Cited by 12 publications

(9 citation statements)

References 19 publications

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“…Previously, philtrum reconstruction mostly relied on the muscle volume accumulation, such as coronal muscle splitting technique and palmaris longus tendon grafts . We explored the philtrum muscles by examining microscopic anatomic features, reviewing microcomputed tomographic scans, and using the finite element method.…”

Section: Discussionmentioning

confidence: 99%

Complete Philtrum Reconstruction on the Partial-Thickness Cross-Lip Flap by Nasolabial Muscle Tension Line Group Reconstruction in the Same Stage of Flap Transfer

Yin

Wang

et al. 2017

JAMA Facial Plast Surg

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Section: Discussionmentioning

confidence: 99%

Complete Philtrum Reconstruction on the Partial-Thickness Cross-Lip Flap by Nasolabial Muscle Tension Line Group Reconstruction in the Same Stage of Flap Transfer

Yin

Wang

et al. 2017

JAMA Facial Plast Surg

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“…In addition, the appropriate timing for the secondary surgical correction of the cleft lip is still being debated. 9 …”

mentioning

confidence: 99%

Secondary Cleft Lip Reconstruction and the Use of Pedicled, Deepithelialized Scar Tissue

Nadjmi¹,

Amadori²,

Casteele³

2016

Plastic and Reconstructive Surgery - Global Open

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“…Therefore, it is necessary to apply additional procedures with overlapping sutures to reconstruct the philtral column. In fact, adjunctive procedures have been reported in reconstruction of the philtral column using several grafts, such as concha cartilage, dermal, and tendon grafts [23][24][25]. There are various techniques used to suture the OOM in cleft lip surgery.…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of Muscle Repair Techniques: Implications in Musculoskeletal Healing and Corollaries in Oral-Facial Clefting

Kim

Choi

Kim

et al. 2021

JCM

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We performed an animal study to identify the techniques associated with the best muscle healing outcomes in cleft lip/palate surgery. The right triceps of thirty adult male Sprague–Dawley rats were cut and repaired by three different suture techniques: simple (n = 10), overlapping (n = 10), and splitting sutures (n = 10). Muscle tissues were isolated from 5 rats per group 1 and 8 weeks postoperation. The inflammatory response and muscle fiber healing were evaluated by hematoxylin and eosin (H&E) staining, Western blotting, immunohistochemistry for TNF-α and IL-1β, and immunofluorescence for laminin and MyoD. Grip strength (N/100 g) and spatial gait symmetry were evaluated before surgery and 1, 2, 4 and 8 weeks postoperation. Eight weeks postoperation, grip force per weight was significantly higher in the simple suture (median, 3.49; IQR, 3.28–3.66) and overlapping groups (median, 3.3; IQR, 3.17–3.47) than the splitting group (median, 2.91; IQR, 2.76–3.05). There was no significant difference in range of motion between groups. The simple group exhibited significant remission of inflammation by H&E staining and lower expression of TNF-α and IL-1β than the other groups by Western blotting and immunohistochemistry. Immunofluorescence revealed stronger expression of MyoD and weaker expression of laminin in the splitting group than in the other groups at week 8, indicating prolonged inflammation and healing followed by poor muscle fiber remodeling. Simple and overlapping sutures demonstrated similar functional healing, although greater inflammation and failure to maintain a thicker muscle belly were observed in the overlapping suture group compared with the simple suture group. Therefore, reconstruction of the philtral column with overlapping sutures alone may result in limited long-term fullness, and additional procedures may be needed.

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Constructing the Philtral Column in the Secondary Cleft Lip Deformity

Abstract: The use of palmaris longus tendon graft is an effective, reproducible, and safe method by which to construct the philtral column in the secondary cleft lip deformity.

Cited by 12 publications

References 19 publications

Complete Philtrum Reconstruction on the Partial-Thickness Cross-Lip Flap by Nasolabial Muscle Tension Line Group Reconstruction in the Same Stage of Flap Transfer

Complete Philtrum Reconstruction on the Partial-Thickness Cross-Lip Flap by Nasolabial Muscle Tension Line Group Reconstruction in the Same Stage of Flap Transfer

Secondary Cleft Lip Reconstruction and the Use of Pedicled, Deepithelialized Scar Tissue

An Evaluation of Muscle Repair Techniques: Implications in Musculoskeletal Healing and Corollaries in Oral-Facial Clefting

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