Primary unilateral cleft lip repair

Article English OPEN
Adenwalla, H. S. ; Narayanan, P. V. (2009)
  • Publisher: Medknow Publications
  • Journal: Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India, volume 42, issue Suppl, pages S62-S70 (issn: 0970-0358, eissn: 1998-376X)
  • Related identifiers: doi: 10.4103/0970-0358.57189, pmc: PMC2825078
  • Subject: Review Article | Closed alar dissection; Notch-free vermillion; Primary septoplasty; Unilateral cleft lip | RD1-811 | Unilateral cleft lip | Notch-free vermillion | Closed alar dissection | Primary septoplasty | Surgery

The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protocol to produce a notch-free vermillion. This is easy to follow even for trainees. We also perform closed alar dissection and extensive primary septoplasty in all these patients. This has improved the overall result and has no long-term deleterious effect on the growth of the nose or of the maxilla. Other refinements have been used for prevention of a high-riding nostril, and correction of the vestibular web.
  • References (37)
    37 references, page 1 of 4

    Rose, W, Lewis, HK. On Harelip and Cleft Palate. 1891

    Thompson, JE. An artistic and mathematically accurate method of repairing the defects in cases of harelip. Surg Gynecol Obstet. 1912; 14: 498

    Mirault, G. Deux lettres sur l'operation du bec-de-lievre. J Chir Paris. 1844; 2: 257

    Blair, VP, Brown, JB. Mirault operation for single harelip. Surg Gynecol Obstet. 1930; 51: 81

    Brown, JB, McDowell, F. Simplified design for repair of single cleft lips. Surg Gynecol Obstet. 1945; 80: 12-26

    LeMesurier, AB. A method of cutting and suturing the lip in the treatment of complete unilateral clefts. Plast Reconstr Surg. 1949; 4: 1

    Hagedorn, W. Uber eine Modifikation der Hasenschartenoperation. Zentralbl Chir. 1884; 11: 756

    Hagedorn, W. Die Operation der Hasenscharte mit Zickzacknarbe. Zentralbl Chir. 1892; 19: 281

    Tennison, CW. The repair of unilateral cleft lip by the stencil method. Plast Reconstr Surg. 1952; 9: 115-20

  • Metrics
    No metrics available
Share - Bookmark