Straight line repair of unilateral cleft lip: new operative method based on 25 years experience

Nakajima, Tatsuo; Tamada, Ikkei; Miyamoto, Junpei; Nagasao, Tomohisa; Hikosaka, Makoto

doi:10.1016/j.bjps.2007.06.003

Cited by 39 publications

(14 citation statements)

References 11 publications

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“…This manoeuvre combined with the mucosa closure technique described helps to harmonize the contours of the deficient vermilion. Historically, there have been many attempts to reconstruct the cleft lip using straight line repair (Holtje and Ehmann, 1973, Nakajima et al, 2008, Pfeifer, 1970. The technique presented here agrees with this principle but uses a different way to achieve it and involves minimal manipulation of the lip anatomy.…”

Section: Discussionmentioning

confidence: 99%

Unilateral cleft lip/nose repair using an equal bows /straight line advancement technique – A preliminary report and postoperative symmetry-based anthropometry

Hakim

Aschoff

Jacobsen

et al. 2014

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Unilateral cleft lip/nose repair using an equal bows /straight line advancement technique – A preliminary report and postoperative symmetry-based anthropometry

Hakim

Aschoff

Jacobsen

et al. 2014

Journal of Cranio-Maxillofacial Surgery

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“…The resultant scar in the primary repair of unilateral cleft lip should ideally be straight and the mirror image of the philtral column on the noncleft side (Nakajima et al, 2008). However, the Z-shaped upper lip scar after the triangular flap method of Tennison and Randall for primary cleft lip repair crossed the philtral column, remained conspicuous and unsightly, and grew hypertrophic where the incisions crossed the cleavage lines (Motegi and Yamazato, 1985).…”

Section: Discussionmentioning

confidence: 99%

Curvilinear Transformation of Z-Shaped Upper Lip Scar by Diamond-Shaped Excision in Secondary Cleft Lip Deformities: A Photogrammetric Evaluation

Han

Jeong

Choi

et al. 2015

The Cleft Palate Craniofacial Journal

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Purpose : The visible Z-shaped upper lip scar that occurs after the Tennison and Randall triangular flap technique remains a cleft stigma. Herein, we present our curvilinear transformation technique for the Z-shaped upper lip scar by diamond-shaped excision and evaluate the results using photogrammetric analyses. Patients and Methods : From 1997 to 2006, 23 patients with secondary cleft lip deformity with the visible Z-shaped upper lip scar underwent correction with the technique. The scar was excised in the diamond shape above the muscle. After curvilinear closure, the elongated length of the upper lip was excised just below the nostril sill, as the measured Cupid's bow height discrepancy. The result was assessed by the authors' standardized photogrammetry technique. Results : There was a statistically significant decrease between the preoperative central limb of the Z-shaped scar and the width of the postoperative curvilinear upper lip scar. The pre- and postoperative Cupid's bow height differences were not statistically significant. Conclusions : The curvilinear transformation of the Z-shaped scar is an efficient procedure that provides (1) a significant decrease in the width of an upper lip scar to make it less conspicuous, (2) incorporation of the scar into the philtral column, (3) a biconcave natural philtral column shape in frontal view, and (4) formation of the natural concave philtral contour in profile view.

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“…All patients were treated with a two-step surgical technique for cleft repair. The lip had been closed between the first and second month of life by straight-line repair (Nakajima et al, 2008). The hard and soft palates were closed between the 10th and 16th month of life by two-flap palatoplasty (Bardach, 1995).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of Bone Volume after Secondary Bone Grafting in Unilateral Alveolar Cleft Using Computer-Aided Engineering

Nagashima

Sakamoto

Ogata

et al. 2014

The Cleft Palate Craniofacial Journal

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The purpose of this study was to evaluate the initial defect and the outcome of bone grafts for unilateral alveolar cleft. To determine the absorption of the bone graft in patients with unilateral cleft, computer-aided engineering (CAE) with multi-detector row computed tomography (MDCT) was used. MDCT scans of 29 patients were taken immediately preoperatively and at 1 month and 6 months postoperatively. The patients underwent bone grafting between 8 and 14 years of age using iliac crest bone grafts. Three-dimensional models were created in each period, and the defect at the alveolar cleft and volume of the bone graft were determined in each patient using CAE. Cleft volume and success of alveolar bone grafting were significantly correlated (P < .01). Alveolar clefts with cleft palate required more bone volume than those without cleft palate (P < .01), but the resorption rate did not significantly differ between alveolar clefts with and without cleft palate (0.48 ± 0.14 and 0.49 ± 0.18, respectively; P = .93). In conclusion, three-dimensional reconstruction of bone grafts using CAE based on MDCT provides a valuable objective assessment of graft volume.

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Straight line repair of unilateral cleft lip: new operative method based on 25 years experience

Cited by 39 publications

References 11 publications

Unilateral cleft lip/nose repair using an equal bows /straight line advancement technique – A preliminary report and postoperative symmetry-based anthropometry

Unilateral cleft lip/nose repair using an equal bows /straight line advancement technique – A preliminary report and postoperative symmetry-based anthropometry

Curvilinear Transformation of Z-Shaped Upper Lip Scar by Diamond-Shaped Excision in Secondary Cleft Lip Deformities: A Photogrammetric Evaluation

Evaluation of Bone Volume after Secondary Bone Grafting in Unilateral Alveolar Cleft Using Computer-Aided Engineering

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