Functional cleft lip repair: a sequential, layered closure with orbicularis muscle realignment.

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Unilateral cleft lip repair requires precise anatomical reconstruction.
• Previous techniques focused on muscle function and aesthetic outcomes.

Purpose of the Study:

• To detail a modified lip repair technique for unilateral cleft lip.
• To evaluate its efficacy in functional orbicularis muscle reconstruction and scar quality.

Main Methods:

• The technique is based on anatomic and electric stimulation studies of the orbicularis oris muscle.
• Modified procedure applied to 125 primary lip repairs.

Main Results:

• The technique allows for functional reconstruction of the orbicularis muscle.
• Applicable to clefts of all widths, resulting in superior scar formation.
• Predictable and pleasing aesthetic results.

Conclusions:

• The described lip repair technique offers functional and aesthetic advantages for unilateral cleft lip.
• Its adaptability and predictable outcomes facilitate easier teaching and application.