Repair of unilateral cleft lip: triangular flap repairs.

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Cleft lip repairs often involve complex techniques.
• The timing and necessity of preliminary procedures like lip adhesion are debated.
• Addressing atypical cleft lip features requires specific surgical considerations.

Purpose of the Study:

• To present the Tennison operation as a reliable and effective method for single cleft lip repair.
• To demonstrate that preliminary lip adhesion is not necessary before the definitive Tennison repair.
• To provide guidance on managing atypical cleft lip presentations using the Tennison technique.

Main Methods:

• The study details the application of the Tennison operation for single cleft lip repairs.
• It addresses techniques for managing medial segment peak reduction.
• Specific strategies for handling atypical cleft lip features are described.

Main Results:

• The Tennison operation is shown to be reliable across the spectrum of single cleft lip severity.
• The procedure effectively addresses medial segment peak reduction.
• Atypical cleft lip features can be successfully managed with this technique.

Conclusions:

• The Tennison operation is a versatile and reliable surgical approach for all single cleft lips.
• Preliminary lip adhesion is not a prerequisite for successful definitive repair.
• The technique offers predictable and satisfactory outcomes for both surgeons and patients.