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A Personal Approach to Bilateral Cleft Lip Repair
William Gerald Austen1,2, Lisa Gfrerer1,2, Michael B Lewis1,2
1Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital.
The Journal of Craniofacial Surgery
|November 15, 2017
Summary
Dr. Lewis presents a 30-year personal technique for bilateral cleft lip (BCL) repair. This method aims for a natural lip pout, specific columellar-labial angle, and improved nasal tip projection.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Bilateral cleft lip (BCL) presents unique reconstructive challenges.
- Achieving aesthetically pleasing and functional outcomes in BCL repair requires specialized techniques.
Purpose of the Study:
- To describe Dr. Michael B. Lewis's personal surgical technique for bilateral cleft lip repair.
- To present the long-term results of this specific BCL repair method over 30 years.
Main Methods:
- Detailed description of a personal surgical approach to bilateral cleft lip repair.
- Focus on achieving specific aesthetic and functional goals: a loose, pouting upper lip, a 90-degree columellar-labial angle, and a projecting nasal tip.
Main Results:
- The technique has been consistently applied for 30 years.
- The described method aims to achieve specific, desirable outcomes in BCL repair.
Conclusions:
- Dr. Lewis's personal technique offers a viable approach to bilateral cleft lip repair.
- The described method consistently targets key aesthetic and functional results in BCL reconstruction.
