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Bilateral Complete Cleft Lip Repair: A Step-by-Step Video Series
Rafael Denadai1, Betty C J Pai1, Nobuhiro Sato1
1From the Department of Plastic and Reconstructive Surgery, the Craniofacial Research Center, the Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Chang Gung University; Center of Plastic, Aesthetic, Hand and Reconstructive Surgery, University of Regensburg; and Department of Plastic and Reconstructive Surgery, Helios Hospital Munchen West.
This study details an advanced surgical technique for bilateral cleft lip repair, emphasizing nasal deformity reconstruction. It introduces modified mucosal flaps for improved intraoral and nasal floor lining in cleft surgery training.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Surgical Education
Background:
- Bilateral cleft lip repair requires technical skill and adherence to modern reconstructive principles.
- Synchronous reconstruction of nasal deformity is crucial for optimal outcomes.
- Training surgeons necessitates clear, detailed procedural guidance.
Purpose of the Study:
- To describe an alternative surgical technique for bilateral complete cleft lip repair.
- To incorporate principles of synchronous nasal deformity reconstruction.
- To present a modified mucosal flap composition for enhanced repair.
Main Methods:
- Detailed description of a bilateral complete cleft lip repair technique.
- Utilized modified mucosal flaps: prolabial, C-flap, inferior turbinate, and lateral nasal.
- Accompanying four-part video series illustrating step-by-step execution.
Main Results:
- Presents a novel approach to bilateral cleft lip and nose reconstruction.
- Demonstrates the application of specific mucosal flaps for improved lining.
- Offers a comprehensive guide for surgical training.
Conclusions:
- The described technique offers an alternative for bilateral cleft lip repair with nasal reconstruction.
- Modified mucosal flaps provide viable options for nasal floor and intraoral lining.
- The video series serves as a valuable educational tool for surgeons-in-training.

