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At least 973 records · Page 54Linked to original sources
PubMed2001

[Effects of unilateral cleft lip and palate prosthesis on the development of maxillary and facial soft tissue].

OBJECTIVE: The effect of unilateral cleft lip and palate prosthesis on the development of maxillary and facial soft tissue was investigated. METHODS: The standard cephalometric measurement was used in patients with complete unilateral cleft lip and palate operated in different periods. We obtained data by measurement. RESULTS: Hard tissue: ANS-X, PNS-X and N-ANS in the group of patients were statistically different from those of the normal control group, but in ANS-PNS and N-PO, there is no statistical difference in these two groups. Angles of hard tissue: There is statistical difference in < N. W. ANS and < SNA between the control and the group of patients. There is only statistical difference in < SNB between the D group and the control group. There is no difference among other groups. Ratios of hard tissue: The ratios of ANS-X/S-X and PNS-X/S-x in the control group were higher than those of the group of patients, and the ratios of S-Go/N-Po, Ar-Go/N-Po and N-Po/AN in the group of patients were higher than those of the control group. The ratio of NMC/SUBN: It is the highest ratio in the control group, and there is no difference between ratios in the control group and the C group, but there is statistical difference between the control and other patient groups (P < 0.05). CONCLUSION: Comparing with normal persons, the defect of maxillary length development is apparent in the patients with complete unilateral cleft lip and palate due to congenital development deformity. The figure of soft tissue in patients with unilateral cleft lip and palate is anastomotic with the figure of their hard tissue. The excavation of bony middle 1/3 in face results in paramorphia of soft tissue adhering on the bony tissue. We can conclude that in order to obtain better articulation function, the palatoplasty should be carried out early.

Adolescent↗
PubMed2004

[Management of secondary nasolabial deformities after bilateral cleft lip repair].

OBJECTIVE: To evaluate the method to correct the seconary nasolabial deformities after the surgical treatment in the patients with bilateral cleft lip. METHODS: From January 2000 to June 2003, forty patients with secondary deformities following repair of bilateral cleft lip were treated with a combined treatment procedures. AU of the forty cases underwent the following preoperative treatments: alveolar bone graft in 28 cases, preoperative orthodontics in 22 cases, prosthodontics in 20 cases and orthognathic surgery or distraction osteogenesis treatment in 20 cases, respectively. In order to improve the enlongation of nasal column, reconstruction of Cupid's bow, philtrum and correction procedures, continuous incision was made from the vermilion in median of the upper lip, the scar edge, the bilateral sides of the nasal column to the inner side of the nose, even extending the bilateral incision to nasolabial groove and nostril fundus. RESULTS: Forty patients were got the follow-ups for 3 months to 3.5 years and the satisfactory rate reached 95%. CONCLUSION: It is natural to emphasize the setting up of odontomaxillary frame and then utilize the surgical procedure to correct the secondary nasolabial parenchyma deformities. The method could be feasible and reliable for the correction of the secondary nasolabial parenchyma deformities after bilateral cleft lip repair.

Adolescent↗
PubMed2004

[The investigation of behavior problem with secondary deformity of cleft lip].

OBJECTIVE: To investigate the behaviors of the children suffered from the secondary deformity after the repair of the cleft lip. METHODS: With the application of the PCPI, eighty patients with the secondary deformity after the repair of the cleft lip were selected in this study and 134 normal children was used for the control. RESULTS: In the age between 6 and 11 years, there were no significant difference of the behaviors between the children suffered from secondary deformity of cleft lip and the normal children,but in the age from 12 to 16, the children with the deformity showed more behavior problems with the social withdraw and the poor social relationships, compared with the normal children. CONCLUSION: The children with the secondary deformity after cleft lip repair in adolescence could have the tendency to suffer from the behavior problems, especially showing the social withdraw and the poor social relationships.

Adolescent↗
PubMed2005

[Repair of upper lip defects with an island flap based on the inferior labial arterial arch].

OBJECTIVE: To investigate one-stage repairing upper lip defects with an island flap based on the inferior labial arterial arch. METHODS: An island flap pedicled with the inferior labial arterial arch was used to repair upper lip defects. The size of the wedge-shaped flap ranged from 1.5 cm x 1.5 cm to 1.5 cm x 2.0 cm. Since 1993, fifteen patients with upper lip defects have been treated with this method. RESULTS: All the flaps survived with satisfactory function and appearance. CONCLUSIONS: The island flap of the inferior labial arterial arch is effective and applicable in repairing severe secondary deformities of congenital bilateral cleft lips.

Adolescent↗
PubMedDate not supplied

[The planning of reconstructive cheilorhinoplasty in deformities related to bilateral clefts of the upper lip].

The techniques of correction of the nose tip and upper lip deformations after the bilateral clefts plastic analysed, their shortcomings were related to the insufficient restitution of the nasal passages lining. The author has put forward a cheilorhinoplastic technique providing the more complete usage of the tissue overgrowth from the upper lip in transposition of the "split" flap consisting of the nasal membranous septum and cicatrized tissues of the lip. The technical realization of the method provided a basis for planning the reconstructive cheilorhinoplasty in any degree of deformation. Reconstructive cheilorhinoplasty is performed with due consideration of the local upper lip tissue availability using the local plastic techniques including the Abbe flap transposition.

Cleft Lip↗
PubMed1989

Deepithelialized mucosal-submucosal flaps to correct the "whistling lip" deformity.

Many methods have been described for correction of the "whistling lip" deformity, a possible sequela of bilateral cleft lip repair. A technique is described that utilizes medially based deepithelialized mucosal-submucosal flaps to augment the central tubercle and to reduce lateral lip fullness. This technique is also useful for certain mucosal contour defects that follow unilateral cleft lip repair. Indications for applying this technique and its advantages, compared with other procedures, are described.

Child↗
PubMed1985

Repair of bilateral cleft lip: Millard's technique.

The abnormal anatomy and principles of treatment of the bilateral cleft lip deformity have been presented. The Millard technique of bilateral cleft lip repair provides for a philtrum of proper width, a lip of proper height, a full-depth labial sulcus, and complete muscle continuity. Transposition of prolabium not required in the definitive lip repair into the floor of the nose permits subsequent columellar construction.

Child, Preschool↗
PubMed1985

Bilateral cleft lip.

Directing the course of care for a patient with bilateral cleft lip problems is a great responsibility and challenge for the surgeon, and it requires full commitment, effort, and talent. The goal is to enable the patient to develop anatomically, functionally, and psychologically as normally as possible and to achieve and succeed in life according to natural abilities, unimpeded by the congenital deformity complex. An individualized and organized effort must continue until the child is grown. One important aspect of this effort is the technical cleft lip repair. No matter how well done, perfection is always a step away. Open minds and energetic young students should be reluctant to accept the "status quo"; they should be encouraged to accept this challenge and make contributions. Although many other "big, new" operations may be very dramatic, none will be more satisfying to the surgeon than the well-performed bilateral cleft lip repair. The surgeon must remember that the day of cleft lip repair is one of the single most important days of a person's life. The result will have meaning from that moment on!

Child, Preschool↗
PubMed1983

A new approach to bilateral cleft lip repair.

The basis of this new approach to bilateral cleft lip repair is the emphasis placed on a thorough understanding of the deformity itself and a detailed knowledge of the normal anatomy of the upper lip, especially that of the philtrum. A population survey has been carried out to determine what the normal philtral dimensions are at the different age groups relevant to the operation milestones in cleft lip surgery. A separate study to determine the histological basis of the philtral configuration has also been carried out. Based on the results obtained from these separate studies, a new approach and technique of bilateral cleft lip repair has been developed and applied to a series of 42 consecutive cases operated on by the author during the past 5 years.

Adult↗
PubMed1983

[An extremely long Abbé flap for simultaneous reconstruction of a defect of the upper lip and the columella].

X-ray treatment of a small haemangioma of the upper lip in a child led to severe health consequences, about 20 years later. Besides an extremely hypoplastic upper lip with whistle tip deformity, an exulcerated basal-cell carcinoma had developed upon the columella and the lower part of the nasal tip. The goal of the operation was to perform a radical excision of the tumor but also to obtain an aesthetically pleasing reconstruction of the upper lip and a simultaneous covering of the defect, resulting from the tumor excision on the columella and the nasal tip. To achieve this, we have chosen an Abbé-flap, with an extremely long cutaneous pedicle. While in Abbé-flaps the relation between muscular and cutaneous part usually is about 1:2, in this case it was about 1:5. With this flap it was possible to cover in one stage the defect in the upper lip, the columella and the nasal tip.

Adult↗
PubMed1983

Minor and major lip reconstruction.

Lip reconstruction has made significant advances over the past two decades with refinement of some old techniques and the introduction of new innovative methods. Small and medium defects can be repaired in a variety of ways with similar results. Local lip switch flaps are far superior to any distant tissue. Total lip loss is probably best handled with nasolabial flaps. Extensive resections including the lip, premaxilla, mandible, and skin of the chin and upper neck remain a challenge with all modern techniques, including myocutaneous flaps and free flaps, having little advantage over the standard visor forehead flap.

Chin↗
PubMed1995

Bilateral complete cleft lip and nasal deformity: an anthropometric analysis of staged to synchronous repair.

This is a retrospective accounting of a personal evolution from staged to synchronous surgical correction of bilateral complete cleft lip and nasal deformity. Technical development can be separated into three phases: (1) two-stage lip/nasal repair with a banked forked flap and subsequent intranasal transposition of the times (n = 15), (2) two-stage lip/nasal repair and later transection of the banked times (n = 5), and (3) one-stage lip/nasal repair without a forked flap (n = 12) and with closure of alveolar cleft (n = 6 of 12). The premaxillary orthopedic program employed a removable jackscrew device in phases 1 and 2; the Georgiade-Latham pin-retained appliance was used in phase 3. Anatomic outcome was documented by anthropometry: Eight nasolabial measures were compared with normative age-matched data. Mean age at postoperative evaluation: phase 1, 8.1 years; phase 2, 4.6 years; and phase 3, 2.5 years. Nasal height, nasal protrusion, and columellar length were generally within 1 SD of normal growth curves in all three phases. Interalar measures were wide in phases 1 and 2 (1 to 2 SD) and closer to 1 SD of the mean in phase 3. Total lip height tended to be long in phases 1 and 2 and was shortened purposely in phase 3 (1 to 2 SD). Vermilion-mucosa accounted for the long lip in the earlier phases. Cutaneous lip length was 1 to 2 SD or more below normal in all phases.(ABSTRACT TRUNCATED AT 250 WORDS)

Anthropometry↗
PubMedDate not supplied

[Primary rhinocheiloplasty in bilateral incomplete clefts of the upper lip].

Anthropometric examinations of 31 patients with bilateral incomplete clefts of the upper lip revealed an excessive elongation of the lateral fragments and reduced height of the central part of cleft lip. Two methods of primary rhinocheiloplasty are suggested, depending on the degree of prolabium underdevelopment, both of them permitting levelling of the height of the fragments and repair of anatomically correct shape of the upper lip and nose. Preparation and connection of the stumps of the oral orbicular muscle during the operation are conductive to recovery of the function of the upper lip, which is confirmed by electromyography data.

Child, Preschool↗
PubMedDate not supplied

A study of small superficial capillary hemangiomas on the lips in children.

PURPOSE: This study describes 77 small vascular lesions on the lips of 74 children and adolescents. RESULTS: Of the 77 lesions, 70% were on the lower lip and 30% on the upper. The diameter range was 0.5-5.0 mm (mean 1.4 mm). On both lips the lesions were in the vermilion zone, close to the border with the skin. The surface of the lesions was smooth and slightly raised, and varied in color from red (49%) through bluish red (45%) to purple (6%). The borders were well defined in most cases. The histology of the lesions was consistent with capillary hemangioma. Small superficial capillary hemangiomas (SSCH) in this study behaved differently from most hemangiomas and vascular malformations in that they did not increase in size, and were persistent in the age group in which most hemangiomas are reported to involute or disappear. The gender distribution of SSCH also differed from the female predominance in hemangioma. SSCH is a solitary benign lesion on the lips of children and adolescents, which has not been separately classified before. CONCLUSIONS: Based on the differences from hemangioma in gender distribution, size, border definition, and growth characteristics, it is suggested that SSCH be classified as a variant or a subgroup of hemangioma.

Adolescent↗
PubMed2005

Squamous cell carcinoma lower lip - an experience with Karapandzic technique.

Carcinoma of the lip is a common cancer of head and neck area. It occurs frequently on the lower lip of middle-aged and elderly males who have a history of chronic sun exposure. Surgical excision and radiotherapy are regarded as equally effective treatment options, but preferred method is surgical excision. Karapandzic technique provides myoneurovascular pedicled advancement flap for reconstruction of the defect after surgical excision. It is a simple and safe technique, functionally and esthetically, sacrifices little tissue, heals rapidly and is effective for repair of defects covering 1/3 to 4/5 of the lower lip. We report a 62 years male who presented with a large, fungating, pus-discharging and tender mass of lower lip. Biopsy confirmed squamous cell carcinoma. Tumor was excised and defect was reconstructed using Karapandzic technique. Patient remained asymptomatic during follow-up visits.

Carcinoma, Squamous Cell↗
PubMedDate not supplied

Hair-bearing temporoparietal fascial flap reconstruction of upper lip and scalp defects.

BACKGROUND: The temporoparietal fascial flap has proven to be a versatile flap for a broad spectrum of reconstructive problems in the head and neck. The temporoparietal fascial flap is a thin, pliable layer of richly vascularized tissue that may be transferred either pedicled or free and alone or as a carrier of subjacent bone or overlying skin and scalp. OBJECTIVE: To report our experience using a hair-bearing temporoparietal fascial flap for reconstruction in 6 male patients with extensive upper lip and scalp defects, including a discussion of the surgical anatomy and technique. METHODS: Temporoparietal fascial flaps with overlying scalp were used as pedicled and free flaps for the reconstruction of upper lip and scalp defects. RESULTS: All reconstructive results were satisfactory. Oral competence, measured by both speech and mastication performance, was achieved in patients with upper lip defects. Healthy scalp coverage was obtained in patients with local defects. The cosmetic appearance was satisfactory to all patients. CONCLUSIONS: Ideal reconstruction of large upper lip and scalp defects is achieved with local tissue that best mimics the normal face color, texture, and hair-bearing qualities. Hair-bearing temporoparietal fascial flaps possess these characteristics and are an excellent choice for the restoration of function and aesthetics.

Adult↗
PubMedDate not supplied

The Abbe flap in secondary cleft lip repair.

The Abble flap is a full-thickness composite flap, involving the transfer of the skin, muscle, and mucosa of the central part of the lover lip to the upper lip. This vermilionpedicled flap, based on the inferior labial vessels, has been used for secondary corrections in cleft deformities, more often in bilateral cases. Indications for its use include deficiency of scarring of the central part of the upper lip. thinness of the vermilion with a nonexistent lip tuberculum, or the absence of a Cupid's bow. The procedure may be combined with other reconstructive procedures.

Adolescent↗
PubMedDate not supplied

The lip-cheek groove: a new analysis with treatment options.

OBJECTIVE: To present a clinical classification of the lip-cheek groove. DESIGN: The clinical classification, which is based on years of analysis, will provide optimal management options for achieving the greatest degree of correction and rejuvenation of the lip-cheek groove. RESULTS: The use of the clinical classification of the lip-cheek groove will guide the surgeon to the management option(s) that will attain the best aesthetic outcome. CONCLUSION: The classification of the lip-cheek groove enables the surgeon to choose the optimal approach for improvement of the groove.

Cheek↗