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Bilateral cleft lip repair.

J Hamamoto1

  • 1Department of Plastic & Reconstructive Surgery, School of Medicine, Hokkaido University, Japan.

Annals of the Academy of Medicine, Singapore
|July 1, 1988
PubMed
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This study reviewed 213 bilateral cleft lip cases from 1970-1987. The Manchester method, with modifications and presurgical orthopedics, yielded satisfactory surgical outcomes for cleft lip repair.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Plastic Surgery
  • Cleft Lip and Palate Research

Background:

  • Bilateral cleft lip presents complex surgical challenges.
  • Classification of cleft lip morphology is crucial for treatment planning.

Purpose of the Study:

  • To evaluate the efficacy of the Manchester method for bilateral cleft lip repair.
  • To assess the impact of presurgical oral orthopedics on surgical outcomes.

Main Methods:

  • Retrospective review of 213 bilateral cleft lip patients (1970-1987).
  • Classification of patients into three groups based on prolabium morphology.
  • Application of the modified Manchester method in 176 cases.
  • Use of presurgical oral orthopedics (head cap and Peat appliance) in 110 cases.

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Main Results:

  • Surgical results using the Manchester method were deemed satisfactory.
  • Presurgical orthopedics was utilized in a significant portion of the treated cases.

Conclusions:

  • The modified Manchester method is a preferred surgical approach for bilateral cleft lip repair.
  • The study supports the use of presurgical orthopedics in conjunction with surgical repair.