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Updated: Mar 27, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Cleft Lip Revision.

Dale J Podolsky¹, Karen W Y Wong Riff², David M Fisher²

¹Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada; Posluns Center for Image Guided Innovation and Therapeutic Intervention (PCIGITI), Toronto, Ontario, Canada.

Oral and Maxillofacial Surgery Clinics of North America

|March 24, 2026

Summary

This summary is machine-generated.

Secondary cleft lip deformities are common and can be minor or major. Minor revisions address single areas, while major deformities require complete repair, with cleft septorhinoplasty for nasal issues near growth completion.

Keywords:

Cleft lip revision Cleft nasal deformity Secondary cleft lip deformity

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Area of Science:

Plastic surgery
Craniofacial surgery
Pediatric surgery

Background:

Secondary deformities after primary cleft lip repair are frequent.
Causes include primary repair technique, original deformity sequelae, and poor scarring.
Deformities can range from minor, affecting one area, to major, involving multiple areas.

Purpose of the Study:

To outline management strategies for secondary deformities following primary cleft lip repair.
To differentiate between minor and major secondary deformities.
To define the optimal timing for cleft septorhinoplasty.

Main Methods:

Review of techniques for secondary cleft lip deformities.
Classification of deformities based on severity and affected anatomical areas.
Discussion of surgical timing for revision procedures.

Main Results:

Minor deformities (nose, lip, vermillion, mucosa) are treatable with revision techniques.
Major deformities necessitate complete takedown and re-repair of the primary cleft lip repair.
Cleft septorhinoplasty addresses residual nasal deformity, ideally performed near skeletal maturity.

Conclusions:

Management of secondary cleft lip deformities depends on their severity and extent.
Revision techniques suffice for minor deformities.
Major revisions and cleft septorhinoplasty require careful planning and timing for optimal outcomes.