Bilateral cleft lip repair by new trending method: a case report

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Bilateral cleft lip repair presents significant surgical challenges, driving innovation in reconstructive techniques.
• Current trends emphasize tissue preservation for improved aesthetic and functional results.
• Reconstruction utilizing the patient's native tissue promotes natural appearance and minimizes scarring.

Purpose of the Study:

• To present a modified bilateral cleft lip repair technique.
• To highlight the benefits of preserving all available tissues, including the prolabium.
• To achieve superior aesthetic outcomes and potentially reduce surgical complexity.

Main Methods:

• A novel surgical approach for bilateral cleft lip repair is described.
• Unlike conventional methods, all tissues, including the prolabium, are preserved and utilized.
• The median vermilion tubercle is incorporated in its original form, and remaining tissues form the oral mucosa.

Main Results:

• The modified technique utilizes the patient's own anatomical structures to create a natural-looking upper lip.
• Preservation of the prolabium tissue allows for the creation of a more natural tubercle.
• Utilizing remaining tissues for oral mucosa may reduce postoperative tension.

Conclusions:

• Restoring function and achieving aesthetic symmetry are paramount in cleft lip surgery.
• The modified technique offers a more natural lip shape by preserving and utilizing the prolabium.
• This method is anticipated to become a mainstream approach due to its aesthetic advantages and reduced surgical difficulty.