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Triangular flap for atypical cleft lip. A modification in design

N Isshiki

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |August 1, 1976
    PubMed
    Summary
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    Standardized triangular flap methods may not suit all cleft lip repairs, especially atypical cases. Surgeons must adapt criteria for optimal symmetry and lip shape outcomes.

    Area of Science:

    • Plastic Surgery
    • Craniofacial Surgery

    Background:

    • Standardized triangular flap techniques are common in cleft lip repair.
    • Atypical cleft lip anatomy presents challenges to standard surgical planning.

    Purpose of the Study:

    • To discuss the necessary compromises in triangular flap design for atypical cleft lip repairs.
    • To provide guidance on achieving symmetry in challenging cases.

    Main Methods:

    • Analysis of anatomical variations in atypical cleft lip cases.
    • Evaluation of the impact of flap design modifications on lip aesthetics.

    Main Results:

    • Compromise of standard criteria is often required for atypical cleft lip anatomy.
    • Adjusting the position of key landmarks (e.g., E') is crucial for vermilion symmetry.

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  • The ratio of vertical incision length to flap base impacts the final lip shape.

    • Conclusions:

    • Flexible application of triangular flap design principles is essential for successful cleft lip repair.
    • Achieving horizontal symmetry, particularly in vermilion length, is a primary goal.
    • Slight asymmetry in the Cupid's bow is often acceptable compared to other lip components.