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Related Experiment Video

Updated: Nov 19, 2025

Method of Studying Palatal Fusion using Static Organ Culture
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The unilateral cleft lip repair.

Jeewanjot S Grewal1, Susan C Yanik2, Alexis M Strohl-Bryan3

  • 1Henry Ford Hospital, Department of Otolaryngology-Head & Neck Surgery, United States of America.

American Journal of Otolaryngology
|January 28, 2021
PubMed
Summary

A two-stage cleft lip repair improves facial symmetry and aids subsequent repairs. This method offers a functional and aesthetic alternative to presurgical nasoalveolar molding for unilateral cleft lip deformities.

Keywords:
CleftCleft lipCleft lip and palateCleft lip repairTwo stage cleft lip repairUnilateral cleft lip repair

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Area of Science:

  • Plastic Surgery
  • Craniofacial Surgery
  • Pediatric Surgery

Background:

  • Complete unilateral cleft lip deformity presents challenges in achieving facial symmetry.
  • Standard repair techniques may require adjuncts like presurgical nasoalveolar molding.
  • Evaluating staged surgical approaches is crucial for optimizing outcomes.

Purpose of the Study:

  • To assess the benefits of a two-stage cleft lip repair.
  • To determine if this approach improves facial symmetry.
  • To evaluate its facilitation of definitive lip, nose, and palate repair.

Main Methods:

  • Retrospective chart review of patients with complete, unilateral cleft lip.
  • Two-stage repair: Stage 1 (straight line repair), Stage 2 (modified Millard repair).
  • Measurements of facial symmetry from pre- and post-operative images.

Main Results:

  • Stage 1 repair increased presumptive C flap width by 19%.
  • Stage 2 repair resulted in cleft-side nostril width being 1.2x the unaffected side, a 140% decrease.
  • Achieved symmetry in upper lip length, with cleft side 92% of unaffected side post-Stage II.

Conclusions:

  • A two-stage cleft lip repair offers functional and aesthetic benefits.
  • This technique serves as a viable alternative to presurgical nasoalveolar molding.
  • The staged approach facilitates improved outcomes in cleft lip repair.