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Primary Repair of Cleft Lip and Nasal Deformity

Monson, Laura A. M.D.; Kirschner, Richard E. M.D.; Losee, Joseph E. M.D.

Plastic and Reconstructive Surgery: December 2013 - Volume 132 - Issue 6 - p 1040e–1053e
doi: 10.1097/PRS.0b013e3182a808e6
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Learning Objectives: After studying this article, the participant should be able to: 1. Describe the relevant anatomy and embryology that contribute to the cleft lip and nasal deformity. 2. Differentiate among the various forms of cleft lip, including microform, minor form, incomplete, complete, and bilateral. 3. List the options for presurgical infant orthopedics. 4. Describe the techniques and the expected outcomes of primary cleft lip and nasal repair.

Summary: The authors describe cleft lip and its surgical management. They address the anatomy, forms, techniques, and outcomes of this complex and challenging deformity.

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Pittsburgh, Pa.; and Columbus, Ohio

From Children’s Hospital of Pittsburgh, University of Pittsburgh; and Nationwide Children’s Hospital, The Ohio State University.

Received for publication March 16, 2012; accepted July 30, 2012.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Joseph E. Losee M.D., Children’s Hospital of Pittsburgh, One Children’s Hospital Drive, 4401 Penn Avenue, Faculty Pavilion, 7th Floor, Pittsburgh, Pa. 15224,

©2013American Society of Plastic Surgeons