Importance of primary repair of cleft lip based on secondary revision of the upper lip

Yohko Yoshimura, Takayuki Okumoto

Research output: Contribution to journalArticlepeer-review

Abstract

Primary surgery on a cleft lip is exclusively responsible for the final shape of the upper lip. There have been numerous modifications of some established operative methods in the repair of cleft lip, with none of them being perfect. In our opinion, what is important for the final outcome is not the design of the white lip incision, but the three dimensional restructure of the lip. One should at least be careful not to make a lip impossible to repair. Our modification of the Millard method is presented. The most important element is to raise the affected alar base, incise the piriform margin high, and insert as high as possible a cleft margin flap to line the nostril floor.

Original languageEnglish
Pages (from-to)503-509
Number of pages7
JournalJapanese Journal of Plastic and Reconstructive Surgery
Volume49
Issue number5
Publication statusPublished - 05-2006

All Science Journal Classification (ASJC) codes

  • Surgery

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