Median Lip Clefts of the Upper Lip

MILLARD, RALPH D.; WILLIAMS, SYDNEY

doi:10.1097/00006534-196842010-00002

Cited by 61 publications

(11 citation statements)

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“…There have been some reports on surgical methods that can be used to lengthen the skin of the philtrum using an inverted-V excision 8–10 . In our patient, a moderate median cleft lip was able to be surgically corrected using mucocutaneous flaps from the lateral lips to achieve a naturally shaped tubercle and Cupid's bow.…”

Section: Discussionmentioning

confidence: 86%

“…There have been some reports on surgical methods that can be used to lengthen the skin of the philtrum using an inverted-V excision. [8][9][10] In our patient, a moderate median cleft lip was able to be surgically corrected using mucocutaneous flaps from the lateral lips to achieve a naturally shaped tubercle and Cupid's bow. When considering reconstruction for this type of incomplete median cleft lip, we have to pay attention to partial loss of the median part of the red lip and an anatomically preserved philtrum.…”

Section: Discussionmentioning

confidence: 89%

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Novel Surgical Technique for Correction of Incomplete Median Cleft Lip Deformity in Oral-Facial-Digital Syndrome Type II

Osawa

Yamamoto

Fujita

et al. 2021

Journal of Craniofacial Surgery

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Oral-facial-digital syndromes (OFDSs) represent a heterogenous group of embryonic development disorders characterized by malformations of the face, oral cavity, and extremities. Oral-facial-digital syndrome type II is an autosomal recessive disease characterized by median cleft lip, gingival frenula, cleft lobulated tongue, and polydactyly. There are few reports on surgical techniques for correction of incomplete median cleft lip. Here we describe a novel surgical method that we used to correct an incomplete median cleft lip in a 5-year-old girl with oral-facial-digital syndrome type II. She had previously undergone surgery for congenital heart disease, oral anomalies, and polydactyly. Cheiloplasty was performed at 5 years and 8 months using a surgical approach that focused on repair of the median tubercle using lateral labial elements. A reasonably good Cupid's bow and median tubercle were achieved. Our technique for surgical correction of moderate incomplete median cleft lip provides adequate philtral height, vermillion fullness, and a good-shaped Cupid's bow.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 89%

Novel Surgical Technique for Correction of Incomplete Median Cleft Lip Deformity in Oral-Facial-Digital Syndrome Type II

Osawa

Yamamoto

Fujita

et al. 2021

Journal of Craniofacial Surgery

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“…The rareness of median cleft lip and the wide spectrum of abnormalities result in the absence of a common surgical technique suitable for all patients. Weimer et al 11 described a surgical method using a diamond incision to repair the median cleft lip, while Millard and Williams 12,13 reported a technique excising an inverted V-shape soft tissue in the center of Cupid's bows. In our study, minimal clefts, such as in patients 1 and 2, were easily repaired with rhombus-shaped submucosal excision of the central cleft and with a careful approximation of the orbicularis oris muscle.…”

Section: Discussionmentioning

confidence: 99%

Single Surgeon’s Experience in Repair of Median Cleft Lip: A Case Series of 5 Median Craniofacial Dysplasia Patients

Yoo

Chung

et al. 2022

Journal of Craniofacial Surgery

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Median craniofacial dysplasia is a rare congenital anomaly with a broad spectrum of severity, which can be classified as hypoplasia, dysraphia, and hyperplasia, depending on the involved tissue amount. A retrospective chart review was performed of patients with median craniofacial dysplasia who underwent repair of the upper lip median cleft between January 2013 and February 2020. The median cleft of the upper lip was present in 5 cases. The average age at operation was 11 months. Two patients had a median notch in the vermilion, 2 patients had an incomplete median cleft lip, and 1 patient had a complete median cleft lip with the absence of columella, prolabium, and premaxilla. A variety of surgical correction was performed for each case, including simple rhombus-shaped excision, modified version of straight-line repair, and columella reconstruction using an intranasal dorsal flap and bilateral cleft margin flaps. Each case needs to be carefully assessed with individualization for appropriate surgical treatment.

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“…[5][6][7] Lengthening of the midline skin can be achieved with inverted-V incision right above the mucocutaneous white roll. 8 Excessive excision of the skin can lead to hypertrophic scarring, whereas insufficient excision can lead to an unnatural depression on the midline of the philtrum.…”

Section: Discussionmentioning

confidence: 99%

Median cleft lip: an uncommon and unique anomaly

Sarma

2019

Int Surg J

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Median or midline cleft lip [MCL] is an uncommon anomaly characterized by a midline vertical cleft through the upper lip and are either isolated or part of multiple anomalies. It can involve the pre-maxilla, the nasal septum, and the central nervous system. MCL includes Complete (42%), Incomplete (49%), and Minor forms (9%). The three main groups distinguished were: 1. Isolated MCL; 2. MCL with craniofacial malformations; and 3. MCL with extra-facial malformations. To analyze two operated cases of median cleft lip and review the relevant literature. The details of two cases of median cleft lip that were operated in 2017 were analysed. Both cases underwent wedge excision with the classical inverted V incision and muscle reconstruction with satisfactory result. Both the patients had no syndromic association or associated anomaly. All cases of MCL require evaluation for associated abnormalities. Isolated MCL can be repaired surgically with a good outcome.

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Median Lip Clefts of the Upper Lip

Cited by 61 publications

References 0 publications

Novel Surgical Technique for Correction of Incomplete Median Cleft Lip Deformity in Oral-Facial-Digital Syndrome Type II

Novel Surgical Technique for Correction of Incomplete Median Cleft Lip Deformity in Oral-Facial-Digital Syndrome Type II

Single Surgeon’s Experience in Repair of Median Cleft Lip: A Case Series of 5 Median Craniofacial Dysplasia Patients

Median cleft lip: an uncommon and unique anomaly

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