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Correction of the bilateral cleft using the sliding sulcus technique
1Children's Hospital Oakland, Plastic/Reconstructive Surgery, 747 52nd Street, Oakland, CA 94609, USA.
The Journal of Craniofacial Surgery
|April 21, 2001
Summary
This study explains bilateral cleft lip morphology using process and field theories. A novel subperiosteal technique simultaneously closes the lip and alveolus, addressing embryonic disarray.
Area of Science:
- Craniofacial Surgery
- Developmental Biology
- Plastic Surgery
Background:
- Bilateral cleft lip morphology can be explained by process and field theories.
- Process theory: initial events cause division, deficiency, displacement, and distortion.
- Field theory: embryonic units are disorganized due to the cleft.
Purpose of the Study:
- To present a subperiosteal surgical technique for bilateral cleft lip and alveolus repair.
- To integrate process and field theories into surgical practice.
Main Methods:
- A subperiosteal technique for simultaneous lip and alveolus closure.
- Primary separation of the nasal tip from the philtral-columellar unit along embryonic fusion lines.
Main Results:
- The described technique effectively combines theoretical concepts for surgical repair.
- Achieves simultaneous closure of the lip and alveolus.
Conclusions:
- The subperiosteal technique offers a unified approach to bilateral cleft lip repair.
- Integrates developmental theories for improved surgical outcomes.