Labial-Nasal Evaluation for Nasal Floor Reconstruction With the New Triangular Flap in Unilateral Cleft Lip Repair

Abstract

In this study, we present a modified technique for primary cleft lip repair with a rotation triangular flap from the cleft lateral side to reconstruct the nasal floor; and evaluate the outcome compared with traditional Millard repair. 40 patients with unilateral cleft lip were included in this research. The patients were divided into 2 groups; 17 patients treated with the Millard technique, and 23 patients treated with the newly modified technique. 14 measurement indexes were employed to evaluate the nose-lip morphology of postoperative patients with UCCL in standardized photographs preoperatively, postoperatively and 1-year follow-up. For lip symmetry, statistical significance was detected in the measurements of the vertical philtral height ratio indicating that the newly modified technique resolve the shortage of lip height on the cleft side 1-year follow-up. ( P < .05). In addition, statistical significance was detected in the 1-year postoperative columellar angle, alar width ratio, nostril width ratio, nostril height ratio, and nostril shape (cleft) ( P < .05), showing more successful repair of the nose compared with the traditional repair. The modified unilateral cleft lip repair with rotation triangle flap from the cleft lateral side was beneficial in the correction of lip and nasal deformity in and had positive effects on labial symmetry.

Prognostic Factors for Speech Outcome among Patients with Submucous Cleft Palate Managed by Furlow Palatoplasty or Posterior Pharyngeal flap

“…Patients with nonsyndromic SMCP who visited the West China Hospital of Stomatology between 2008 and 2021 were reviewed and enrolled according to the following criteria: documented with evident VPI and received FP or PPF as the primary surgical procedure; complete record of preoperative and postoperative perceptual speech assessment and nasopharyngoscopy examination; a follow-up period longer than 6 months 20,22,34,35 ; no adjunctive procedures with FP or PPF performed during the primary repair of SMCP; no perioperative speech therapy or secondary surgical procedure delivered until the last follow-up recorded in this study; and cleft lip, if present, repaired by a modified rotation-advancement technique. 36,37 Patients who had syndromes, hypotonia, central neural disorders, or other nasopharyngeal operations, including tonsillectomy and adenoidectomy, were excluded. 16,38 The research protocol was approved by the institutional review board of West China Hospital of Stomatology (no.…”

Outcome Comparisons of Two Different Orbicularis Oris Muscle Reconstruction Techniques in Patients with Unilateral Incomplete Cleft Lip

“…The design of the cleft lip repairs followed a modification of Millard's technique. 16 The markings, incisions, and closure were made as shown in Figure 1. Noticeably, the distance between points 6 and 2 and that between points 6 and 3 should be equal.…”