Restoring the Overhang of the Upper Lip in Repairs of the Oral Commissure

Wall, Norman R.; Cameron, Ronald R.; Latham, Wilbur D.

doi:10.1097/00006534-197206000-00006

Cited by 3 publications

(1 citation statement)

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“…Similarly, Wall and colleagues suggested that the vermilion at the commissure forms a small anterior web continuous with the upper lip and a larger posterior web continuous with the lower lip. 49 These structural subtleties allow a natural overlapping of the upper and lower lip segments and infolding of the vermilion at the depth of the commissure with the mouth in repose.…”

Section: Discussionmentioning

confidence: 99%

Repair of Transverse Facial Cleft in Hemifacial Microsomia: Long-Term Anthropometric Evaluation of Commissural Symmetry

Rogers

Mulliken

2007

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Repair of Transverse Facial Cleft in Hemifacial Microsomia: Long-Term Anthropometric Evaluation of Commissural Symmetry

Rogers

Mulliken

2007

Plastic and Reconstructive Surgery

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Commissural Symmetry in Unilateral Transverse Facial Cleft Patients: An Anthropometric Study

Li¹,

Liu²,

Sbi³

et al. 2012

Journal of Oral and Maxillofacial Surgery

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Review of two cutaneous closure methods for Tessier 7 repair

Mehra¹,

Sarma²

2022

Journal of Cleft Lip Palate and Craniofacial Anomalies

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Aim of the Study: The aim of this study is to retrospectively analyze the surgical outcomes of patients who were treated for Tessier 7 cleft deformity, over a period of 10 years and compare the two cutaneous closure methods used for the treatment of the same in our cleft center. Patients and Methods: This is a retrospective audit of all the patients who had undergone Tessier 7 cleft repair from 2010 to 2020 in our center. Relevant details from recorded case histories were extracted and the surgical technique (Straight-line closure or Z-plasty technique) used for the closure of each case was analyzed. The benefits and drawbacks of linear closure and geometric closure methods were also studied. The preoperative, postoperative, and follow-up records and photographs were assessed for the results. Results: Of the 40 patients, 23 patients had skin closure done using Z-plasty technique while 17 patients had the closure done using the straight-line method. The average age at repair was 10.6 months and the follow-up period was unto 1.5 years. Visual Analog Scale and Scar assessment scales revealed Z-plasty skin closure scars were more conspicuous than straight-line closure ones. Lateral migration of the commissure was not an evident finding. Conclusion: Z-plasty or W-plasty can be avoided in repair of transverse facial clefts. Closure of the orbicularis oris muscle is the critical step to provide a counterforce to the contraction of the cutaneous scar and no lateral migration or hypertrophic scarring is present after straight-line cutaneous closure.

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Restoring the Overhang of the Upper Lip in Repairs of the Oral Commissure

Cited by 3 publications

References 0 publications

Repair of Transverse Facial Cleft in Hemifacial Microsomia: Long-Term Anthropometric Evaluation of Commissural Symmetry

Repair of Transverse Facial Cleft in Hemifacial Microsomia: Long-Term Anthropometric Evaluation of Commissural Symmetry

Commissural Symmetry in Unilateral Transverse Facial Cleft Patients: An Anthropometric Study

Review of two cutaneous closure methods for Tessier 7 repair

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