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A New Technique Using Modified Dehaan's Method for Median Cleft Lip Closure: A Case Report
Ushio Hanai1, Tadashi Akamatsu
1Department of Plastic and Reconstructive Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. hanaiushio@gmail.com.
The Tokai Journal of Experimental and Clinical Medicine
|August 27, 2019
Summary
This study presents a novel surgical approach for true median cleft lip, achieving excellent aesthetic results with minimal scarring. The modified bilateral cleft lip procedure effectively reconstructed the Cupid's bow and improved nasal morphology.
Area of Science:
- Plastic Surgery
- Congenital Abnormalities
- Craniofacial Surgery
Background:
- Median cleft lip is a rare congenital condition, with "true" median cleft lip involving actual tissue separation.
- This case involved a rare instance of true median cleft lip.
Observation:
- A female infant presented with true median cleft lip, mild orbital hypertelorism, alveolar cleft, and anterior basal meningocele.
- The patient underwent cheiloplasty using a modified bilateral cleft lip surgical technique at five months of age.
Findings:
- The surgical procedure resulted in a well-defined Cupid's bow and an inconspicuous scar, unlike typical midline scars.
- Nasal morphology improved, with the formation of a nostril sill and better overall nasal base structure.
Implications:
- This technique offers a promising aesthetic solution for true median cleft lip, particularly in mild cases.
- The findings suggest that established bilateral cleft lip repair methods can be adapted for improved outcomes in specific median cleft lip presentations.