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Tailored Microform Cleft Lip Repair

Personalizing Small Incisions, Orbicularis Reconstruction, and Rhinoplasty

He, Lin MD*; Yu, Xueyuan MD*; Liu, Xiangyu MD*; Chen, Wendy MD; Shu, Maoguo MD*

doi: 10.1097/SCS.0000000000005345
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Background: In the last decade, many surgeons have reported their perspectives on microform cleft lip repair, including techniques for incision placement and size, philtral reconstruction, and nasal base reconstruction. This interest demonstrates continued controversy in the repair of microform cleft lip.

Methods: This is a retrospective cohort of patients from 2010 to 2016. The authors included patients with microform cleft lip repaired by our described technique who had both preoperative photographs, as well as photographs taken at >1-year follow-up. Patient outcomes were assessed through anthropometric measurements and also subjectively by 3 senior residents of plastic surgery.

Results: The inclusion criteria yielded 36 microform cleft lip patients. Most patients were satisfied with their results. Regarding subjective assessment, the scar appearance and symmetry was fairly good. Objective measurements indicated excellent symmetry, with the cleft side achieving 92.58% of the height and measurements of the non-cleft side.

Conclusions: Our method of combining labial muscle reconstruction through a personalized, small incision effectively corrects microform cleft lip deformity with minimal scar burden.

*Department of Plastic, Aesthetic and Maxillofacial Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China

Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Address correspondence and reprint requests to Maoguo Shu, MD. Department of Plastic, Aesthetic and Craniofacial Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, China; E-mail: Shumaoguo@163.com.

Received 11 April, 2018

Accepted 20 December, 2018

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.