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Cleft lip: a combined approach.

S K Wynn1

  • 1Medical College of Wisconsin, Milwaukee.

The Cleft Palate Journal
|January 1, 1988
PubMed
Summary

This study presents two surgical combinations for cleft lip repair, improving outcomes for both narrow and wide clefts using specific flap techniques. These methods offer enhanced results for selected patients.

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery

Background:

  • Cleft lip repair involves complex surgical techniques.
  • Optimizing aesthetic and functional outcomes remains a key goal.

Purpose of the Study:

  • To describe two distinct surgical combinations for cleft lip repair.
  • To evaluate the efficacy of these combined techniques in narrow and wide clefts.

Main Methods:

  • Combination 1 (narrow cleft): forked flap, rotation-advancement flap, and round nostril technique.
  • Combination 2 (wide cleft): forked flap, Wynn lateral flap, and round nostril technique.
  • Presentation of indications, surgical technique, and short-term follow-up.

Main Results:

  • The described combinations offer improved results in cleft lip repair.
  • Specific flap combinations are indicated for narrow versus wide clefts.
  • Short-term follow-up suggests the efficacy of these approaches.

Conclusions:

  • The presented surgical combinations provide enhanced outcomes for cleft lip repair.
  • Tailoring the technique based on cleft width (narrow vs. wide) is crucial.
  • These methods are justified for selected cleft lip patients.

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