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[Cleft lip repair using a lateral columellar flap].

R Song1, C Liu, H Ma

  • 1Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100041.

Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi = Zhonghua Zheng Xing Shao Shang Waikf [I.E. Waike] Zazhi = Chinese Journal of Plastic Surgery and Burns
|August 15, 2001
PubMed
Summary

This new surgical technique for cleft lip repair uses a lateral columellar flap to reconstruct cosmetic structures, resulting in improved philtrum and Cupid's bow appearance. The method offers better aesthetic outcomes than traditional approaches.

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Area of Science:

  • Plastic surgery
  • Craniofacial surgery
  • Reconstructive surgery

Context:

  • Cleft lip repair often results in residual cosmetic defects of the philtrum, philtrum dimple, and Cupid's bow.
  • Existing surgical methods for cleft lip repair have limitations in fully restoring these key aesthetic features.

Purpose:

  • To introduce and evaluate a novel surgical technique for cleft lip repair using a lateral columellar flap.
  • To address the persistent cosmetic deficiencies in philtrum column, philtrum dimple, and Cupid's bow following conventional cleft lip surgeries.

Summary:

  • A new method involves transplanting a rectangular flap from the lateral columella to lengthen the philtrum and reposition the Cupid's bow on the medial side of the cleft.
  • This technique was applied to 46 patients (23 unilateral, 9 bilateral cleft lip, and 14 secondary deformities) between 1996 and 1998.

Related Experiment Videos

  • All repaired lips exhibited normal-appearing philtrum columns, philtrum dimples, and Cupid's bows, with a straight scar line defining the philtrum column.

    • Impact:

    • The lateral columellar flap method provides a more rational approach to cleft lip repair by utilizing tissue from an unexposed area.
    • This technique achieves superior aesthetic results compared to commonly employed cleft lip repair methods.
    • The procedure enhances the cosmetic outcome of cleft lip reconstruction, improving patient satisfaction.