Bilateral Cleft Lip
Schematic design of muscle repair enhancing philtrum edges and its dimple.
The â€œphiltrum dimpleâ€? is caused by an incomplete approximation of the orbicularis oris muscle, therefore, the lateral muscle stumps should not be attached to each other. Furthermore the central part is sutured, involving the subdermal prolabium skin, to create the dimple effect, therefore avoiding a bubblelike prolabium. The approach for the suture starts at the labial frenum and proceeds towards the subdermal region.
Book: Cleft Ultimate Treatment -- Oro-facial and Cranio-maxillo-facial Deformities (Second Edition) Authors: Dr. Kurt Butow and Dr. Roger Z...