Cleft Lip Revision: A Proven Classification for Surgical Precision and Resource Optimization

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Secondary cleft lip deformities (SCLD) arise from complications following primary cleft lip repair.
• These deformities present a wide spectrum of clinical variations and lack a standardized classification.
• Etiologies include wound healing issues, trauma, and surgical technique deficiencies.

Purpose of the Study:

• To introduce a novel, universally applicable classification system for secondary cleft lip deformities.
• To provide a simplified and consistent approach for identifying and categorizing SCLD.
• To enhance communication and surgical planning among cleft care providers.

Main Methods:

• Development of a comprehensive classification system for SCLD.
• Categorization of SCLD into 5 types based on involved anatomical structures: skin, mucosa, orbicularis oris muscle, nose, and premaxilla.
• Association of each type with specific patterns of tissue involvement and tailored surgical approaches.

Main Results:

• The proposed classification system simplifies the identification and categorization of SCLD.
• It facilitates tailored surgical planning and resource allocation.
• Improved interdisciplinary communication among cleft care teams is achieved.

Conclusions:

• The 5-type classification system offers a standardized framework for SCLD.
• Preoperative assessment using this system enhances surgical planning and outcomes.
• This classification promotes effective communication and resource management in cleft lip repair.