Unilateral Cleft Lip
Unilateral lip-repair - The ULTIMATE Clinical pearls, continued 5. The muscles of the upper lip should be connected, without disturbing the central philtrum dimple while carefully dissecting the underlying muscles. Inaccurate dissection will result in a flat upper lip. Furthermore, lip muscles should be connected in such a way that the overlying cutaneous scar mimics the opposite natural philtrum. 6. Do not position a straight line incision at or into the nasal floor, as the upcoming scar might present as a shiny area, mimicking a permanent runny nose. 7. The white roll, the prominent ridge where the lip mucosa meets the skin, should not be transected with a straight lip incision line, as this aesthetic landmark can immediately be recognised as a scar. 8. The same as above applies to the red lip dry â€“ wet junction. This aesthetic landmark shall also immediately be recognised as a lip scar. 9. The alar sill should be medially rotated to create a similar aesthetic appearance compared to the non-cleft side.
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...