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Reconstruction of microform cleft lip
Zekeriya Tosun1, Mübin Hoşnuter, Sadik Sentürk
1Department of Plastic and Reconstructive Surgery, Selcuk University Medical Faculty, Konya, Turkey. ztosun@hotmail.com
Summary
Microform cleft lip, a partial orbicularis oris muscle cleft, presents subtly. Successful surgical reconstruction in two adult women demonstrates effective treatment for this condition.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Congenital Abnormalities
Background:
- Subepithelial clefts, or partial orbicularis oris muscle discontinuities, are often overlooked.
- Microform cleft lip (MCL) and mini-cleft lip are proposed as more accurate descriptors.
- These subtle anomalies can present with specific aesthetic concerns.
Observation:
- Two adult women (25 and 29 years old) presented with vermilion notching, a vertical depression on the upper lip, and nasal asymmetry.
- Clinical examination suggested a potential underlying muscular defect.
- Surgical exploration confirmed the presence of orbicularis oris muscle discontinuity.
Findings:
- The subepithelial cleft of the orbicularis oris muscle was identified during surgical intervention.
- Successful surgical reconstruction of the muscle discontinuity was achieved in both cases.
- Postoperative outcomes were positive, addressing the presenting aesthetic concerns.
Implications:
- This case series highlights the importance of recognizing microform cleft lip in adults presenting with subtle lip and nasal deformities.
- Surgical repair of orbicularis oris muscle discontinuity can effectively correct these aesthetic issues.
- Accurate diagnosis and timely intervention are crucial for optimal functional and aesthetic results in microform cleft lip patients.