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Related Experiment Videos

Bilateral cleft lip.

John B Mulliken1

  • 1Harvard Medical School, Boston, MA 02115, USA. john.mulliken@tch.harvard.edu

Clinics in Plastic Surgery
|May 18, 2004
PubMed
Summary
This summary is machine-generated.

This study reviews bilateral cleft lip repair, noting primary surgery can affect midface growth. Maxillary advancement is often needed later for optimal facial aesthetics and skeletal balance.

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Bilateral cleft lip repair aims for normal appearance and speech.
  • Established principles guide synchronous repair, but techniques evolve.
  • Primary repair can impede maxillary growth, necessitating careful surgical technique.

Purpose of the Study:

  • To outline surgical objectives and principles for bilateral cleft lip repair.
  • To discuss the impact of primary repair on maxillary growth.
  • To highlight the role of secondary procedures, particularly maxillary advancement.

Main Methods:

  • Review of established surgical principles for bilateral cleft lip repair.
  • Discussion of the long-term effects of primary repair on facial growth.

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  • Analysis of secondary surgical interventions for aesthetic and skeletal correction.

    • Main Results:

    • Primary repair requires meticulous technique to minimize tension and preserve growth.
    • Secondary maxillary advancement is frequently required in adolescence for improved nasal tip projection, lip protrusion, and skeletal harmony.
    • Minimizing revisions to the lip and nasal cartilages is crucial.

    Conclusions:

    • Gentle surgical craftsmanship during primary repair is essential to mitigate maxillary growth impairment.
    • Maxillary advancement is a key secondary procedure for achieving optimal outcomes in patients with repaired bilateral cleft lip.
    • Future advancements in distraction osteogenesis may enhance the role of maxillary advancement.