Current Surgical Practices in Cleft Care: Unilateral Cleft Lip Repair

Abstract

Rotation advancement remains the most frequently used technique for unilateral cleft lip repair. However, almost half of those using rotation advancement perform a modification to the original technique. Surgeons should be familiar with both the rotation advancement repair and its common modifications. Among adjunct procedures, only primary nasal correction currently garners widespread use.

The Assessment of Treatment Outcome by Evaluation of Dental Arch Relationships in Unilateral Cleft Lip and Palate Children using mHB Scoring System

“…However, the exact mechanisms on how the cheiloplasty influence the maxillary growth are still unclear. 39) . The favorable outcome of the lip surgery heavily relies on the surgeons' experiences and expertise.…”

Nuevo enfoque en el tratamiento quirúrgico de las fisuras labiales congénitas

“…Curiosamente, ésta es la forma en que se trata la fisura labial unilateral en la mayoría de centros especializados alrededor del mundo. Así, se considera que un 84% de los cirujanos en Norteamérica utilizan solamente la técnica de Millard o sus modificaciones (4).…”

Cleft Lip and Palate

“…There is a spectrum of incomplete clefting, ranging from vermilion notching to near-complete disruption of the lip with a remaining Simonart band. 3 An incomplete bilateral cleft lip can be quite asymmetric (Fig. 4).…”

“…The prolabium can vary in size and lacks the normal philtral structure of a central groove and philtral ridges. The vermilion cutaneous junction and cutaneous (white) roll are often 3 There are few studies that compare the outcomes of various cleft lip repair techniques. Holtmann and Wray 4 (1983) studied patients randomized to receiving either the Millard rotation-advancement repair or the triangular (geometric) cleft lip repair, as described by Randall and colleagues 5 (Level II evidence).…”

“…In a phone survey that contacted 89% of North American cleft centers, more than one-third of the centers offer NAM as an adjunct to surgical repair of unilateral and bilateral cleft lip. 3,34 Lip adhesion Lip adhesion surgery can be performed in unilateral and bilateral cleft lip. It is performed before definitive surgery, typically before 3 months of age.…”