The Importance of Accurate Repair of the Orbicularis Oris Muscle in the Correction of Unilateral Cleft Lip

Assessing the Effectiveness of Massage Therapy for Bilateral Cleft Lip Reconstruction Scars

“…Massage has been shown to decrease this edema buildup with the use of manual lymph drainage. (4,9) Manual lymph drainage is similar to effleurage, which was one of the techniques used during treatment. Further studies should be done to determine the prevalence of fluid accumulation in cleft lips, and if manual lymph drainage is beneficial in decreasing the accumulation once adhesions have been broken down.…”

“…This muscle has two layers-the superficial layer helps with retracting the upper lip or smiling (Figure 1(b)) and the deep layer primarily functions as a constrictor, the action needed for puckering the lips together (Figure 1 (c)). (4,5) Since cleft lip scars lie over this muscle and when adhesions form into muscles weakness develops, the strength of these two actions can be compromised. After the adhesions in the muscles are addressed, resisted range of motion is a remedial exercise that can be used as a strengthening technique to promote muscle growth.…”

“…(8) With this increase in tissue length, range of motion will increase, as well. Less restricted [4][5][6] Moderately restricted 7-9…”

“…This may require reconstructing the nose region. (3,4,5) Other surgeries, such as fixing the maxillary arch, may be needed and are done later in life to ensure proper growth of the face. Repairing the maxillary arch may also require a revision of the lip repair.…”

“…Postsurgical treatments are typically used to correct dental anomalies, speech problems, and biomechanical issues. (3,4,5,6) No research was found that addressed the scars specifically.…”