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Kapetansky-Juri Technique to Correct the Whistlers Lip in the Multiple Operated Cleft Patient
Gadre Kiran1, Shandilya Ramanojam2, Pushkar K Gadre3
1Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed University Medical College, Pune, 411043 Maharashtra India.
Purpose:
One of the common sequels of a cleft lip repair may be "whistling lip deformity" but other deformities are also seen particularly in failed or multiple resurgery cases. This retrospective study was carried out to evaluate the usefulness of "Kapetansky-Juri" advancement flap technique to correct such deformities.
Methods:
Ten patients of bilateral cleft lip with history of minimum five failed cleft lip surgeries and having residual lip deformity were operated using "Kapetansky-Juri" advancement flap technique and were followed up to minimum 36 months.
Results:
All patients showed good tissue fullness and complete correction of the deformity. There was no contracture of surrounding skin or vermilion during follow-up period. In eight patients minimal scar formation was seen while two showed midline scar formation.
Conclusion:
No tissue loss due to vascular insufficiency was observed. The technique gives good tissue distribution and minimal surface scar formation.
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