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A Modified Double Z-Plasty for Bilateral Cleft Lip Repair
Emad Hussein Elsayed1, Barakat Abdelreheem2, Mohamed M Ghoneim3
1Department of Plastic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
Summary
A modified Z-Plasty technique effectively repaired bilateral cleft lip (BCL) in infants, showing excellent wound healing and significant aesthetic improvements. This method enhances lip volume and philtrum length while avoiding vermillion tissue scarring.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Craniofacial Surgery
Background:
- Bilateral cleft lip (BCL) repair presents surgical challenges.
- Traditional techniques can lead to complications like scarring and inadequate aesthetic outcomes.
- A modified Z-Plasty technique offers a potential solution for improved BCL repair.
Purpose of the Study:
- To evaluate the efficacy of a modified Z-Plasty technique for repairing primary bilateral cleft lip.
- To assess postoperative outcomes, including wound healing and aesthetic results.
- To compare the modified Z-Plasty technique with traditional methods in terms of complications and functional improvements.
Main Methods:
- A prospective study involving 20 Egyptian patients with primary BCL (ages 1 week to 1 year).
- Surgical repair was performed using a modified Z-Plasty technique.
- Outcomes were assessed based on wound healing, inflammation, infection, dehiscence, gummy show, maxillary ridge show, philtrum length, and lip volume.
Main Results:
- All 20 patients exhibited uneventful wound healing without inflammation, infection, or dehiscence.
- Significant improvement in postoperative gummy show (p=0.001).
- 70% of patients achieved zero postoperative maxillary ridge show, with improved lip lengths, philtrum length, and lip volume, while preserving vermillion tissue.
Conclusions:
- The modified Z-Plasty technique is a safe and effective method for repairing bilateral cleft lip.
- This technique yields excellent aesthetic and functional results, overcoming limitations of traditional methods.
- The modified Z-Plasty technique enhances key facial features and avoids vermillion tissue sacrifice.
