Surgical Treatment of the Unilateral and Bilateral Cleft Lip Patients Using Mulliken Method: 10 Year Results

Kim, Seok-Kwun; Kim, Tae-Heon; Park, Su-Sung; Lee, Keun-Cheol

doi:10.7181/acfs.2012.13.1.11

Cited by 1 publication

(3 citation statements)

References 12 publications

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“…Differences between the two groups were significant. In a study by Kim et al, 17 upper and lower philtral widths were maintained within the normal range after surgery and subsequent growth. Additionally, growth of the upper philtral width was faster than that of the lower philtral width.…”

Section: Discussionmentioning

confidence: 89%

“…However, it should be noted that the nasolabial angle may increase due to surgery. 17 Although preoperative NAM is widely used in infants with bilateral cleft lip, it also has many drawbacks, which are the time required for follow-up after NAM, additional costs incurred in this process, and complications that may occur with NAM. 19 A study on the complications of NAM reported that 30% of patients did not comply with continuous outpatient appointments, and complications were observed in 10% of patients who were undergoing NAM.…”

Section: Discussionmentioning

confidence: 99%

“…14 In this study, there was no difference in the symmetry and length of the upper lip measured 1 year after cheiloplasty, between patients with bilateral complete cleft lip and healthy control patients, which was consistent with the findings of previous studies. 16,17 However, scars of the mucocutaneous, vermilion, and/or muscular regions after surgery could lead to differences in growth of the nose and lips between the patient and control groups (►Fig. 5).…”

Section: Discussionmentioning

confidence: 99%

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Long-Term Evaluation of the Lip and Nose in Bilateral Complete Cleft Lip Patients following Lip Adhesion and Secondary Nose Correction

et al. 2022

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Background Surgical correction of bilateral cleft lip deformities remains one of the most challenging areas in facial plastic surgery. Many surgical techniques and conservative devices have been offered for the early management of bilateral cleft lip in infants. The purpose of this study was to evaluate the effect of lip adhesion on the lip and nose of patients with bilateral cleft lip. Methods A retrospective review of 13 patients with bilateral cleft lip was performed and compared with age-matched noncleft children. Patients underwent lip adhesion at a mean age of 2.8 months, and cheiloplasty at 6.6 months of age using a modification the Mulliken method. Secondary rhinoplasty was performed at the age of 6 in 13 patients. The surgical results were analyzed using photographic records obtained at the age of 1 and 7 years. Twelve length measurements and one angle measurement were obtained. Results All measurements were not statistically different from those of the noncleft age-matched control group at the age of 1. At 7 years of age, upper lip height and vermilion mucosal height were shorter (p < 0.05) than in the control group. Nasal tip protrusion and the nasolabial angle were greater (p < 0.05) than in the control group. Conclusion Lip adhesion followed by secondary rhinoplasty resulted in an acceptable lip and nasal appearance. Although nasoalveolar molding is now widely used, lip adhesion can be an appropriate alternative if an orthodontist is not available due to geographical or economic constraints.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%