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Surgical Management of Unilateral Cleft Lip

Colleen Cecola1, Krishna Patel2, Lamont R Jones3

  • 1Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, 533 Bolivar Street, Suite 566, New Orleans, LA 70112, USA.

Facial Plastic Surgery Clinics of North America
|October 16, 2025
PubMed

Insights

Unilateral cleft lip, a common congenital defect, requires early intervention for feeding and development. Advanced prenatal diagnosis and surgical techniques ensure optimal functional and aesthetic outcomes.

Area of Science:

  • Craniofacial Surgery
  • Pediatric Congenital Defects
  • Medical Diagnostics

Background:

  • Unilateral cleft lip is a frequent congenital anomaly affecting the head and neck.
  • It presents in various forms, from incomplete to complete, potentially involving the palate.
  • Early management is vital for addressing feeding issues and preventing complications.

Purpose of the Study:

  • To outline the importance of early intervention in unilateral cleft lip cases.
  • To highlight the role of advanced ultrasonography in prenatal diagnosis.
  • To review surgical techniques and postoperative care for optimal outcomes.

Main Methods:

  • Prenatal diagnosis using advanced ultrasonography.
  • Multidisciplinary team coordination for cleft repair planning.
  • Review of surgical techniques including Millard, modified Millard/Mohler, and Fisher.
  • Emphasis on postnatal care, feeding strategies, and nasoalveolar molding.

Main Results:

  • Prenatal diagnosis facilitates coordinated planning.
  • Nasoalveolar molding aids in early intervention.
  • Specific surgical techniques are detailed for functional and aesthetic results.
  • Thorough postoperative care is essential for recovery.

Conclusions:

  • Early and comprehensive management, from prenatal diagnosis to surgical repair and follow-up, is critical for unilateral cleft lip.
  • Advanced imaging and multidisciplinary approaches improve patient outcomes.
  • Focus on both functional and aesthetic results ensures optimal recovery and quality of life.

Keywords:
Cleft lipFisherMillardMohler

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