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At least 19 recordsLinked to original sources

Secondary unilateral cleft lip repair: combining rotation-advancement principles with a cross-lip muscle-vermilion flap.

Any lip without a complete philtral complex looks unnatural. This important anatomical entity can be recovered in many lips primarily closed with straight-line or Mirault-Blair-Brown-McDowell procedure. In these patients, combining a rotation-advancement upper lip revision with tubercle reconstruction using a cross-lip vermilion-orbicularis oris muscle flap results in a rotation-advancement scar ideally located in the skin of the upper lip and no scar in the skin of the lower lip. The tubercle is reconstructed as a unit from lower lip vermilion and muscle. The scar in the lower lip is restricted to the vermillion and therefore becomes extremely subtle and difficult to detect. The many scars resulting from a standard Abbe flap are avoided. Even patients with lip deformities considered too mild for a standard Abbe flap no longer need be denied lip revision when the cupid's bow is deficient.

Adolescent

Measurement of lip posture and interaction between lip posture and resting face height.

A method for measurement of lip incompetence is described. Electromyographic techniques were used to obtain relaxation of the muscles of the lip and of a jaw elevator muscle. Standardized photographs were taken of the subject's profile, from which lip separation and face height were measured. Variation was found in successive measurements of lip posture, some of which appeared to depend upon mandibular posture. With the teeth in occlusion, lip separation was reduced. Active maintenance of lip contact by the subject was often associated with a reduction in lower face height, which may have been a direct consequence of the lip muscle activity, or of jaw elevator activity facilitating the lip closure.

Adolescent

Secondary lip correction in unilateral cleft lips.

Between 1973 and 1976, we performed 121 secondary corrections of the lip in cleft lip and palate cases; 75 of them were unilateral. Most of the cases were originally operated upon in another unit, usually by the same surgeon using a straight line closure according to Veau (1931). The result was always a short lip at the site of operation. In addition, the typical deformity of the aperture of the nose, with flatness of the ala cartilage, has been frequently observed. Various techniques have been used to correct the secondary deformities of the lip; some were modified by the author. In most cases, the Tennison (1952) technique was used with modification of the Trauner (1966) flap. The results of this technique were compared with those of Millard (1964). Other methods were used in a few cases. The results demonstrate, that by using the rotation advancement technique, better improvement of the nasal aperture will be obtained and the Z-plasty of the lip has the advantage of forming a cupid's bow. The method of lip correction chosen depends upon the nature of the lip deformity.

Cicatrix

The relationship between lip pressure and facial growth after cleft lip repair: an experimental study.

Two different methods of lip repair were used on rabbits with surgically created unilateral clefts of the lip, alveolus, and palate. Control groups involved both unoperated animals and those with unrepaired surgically created clefts. The resulting lip pressure in the rabbits with repaired cleft lips was found to be significantly higher than in the control groups. Direct skull measurements showed that the rabbits whose lips had been surgically repaired also had significantly shorter maxillae that did the control groups. The correlation found between the amount of lip pressure and the degree of growth inhibition indicated a causal relationship.

Animals

[Geographic lip and folded lip. A new association].

In a typical case of geographical lip, the authors discovered the presence of parallel vertical grooves on the mucosal side of the lips and believe these are similar to those observed in folded tongue. They concluded that there is a possible association "geographical lip and folded lip", comparable with the association "geographical tongue and folded tongue". They then carried out a histological study and proposed an etiopathogenic explanation for the folds in the lip in comparison with the fissures of the tongue, dysembryoplasia due to heterotopy of the gustatory or lymphopoietic grooves.

Abnormalities, Multiple

The "lip shave" operation for pre-malignant conditions and micro-invasive carcinoma of the lower lip.

The indications for a lip shave operation include actinic cheilitis with dysplasia, carcinoma in situ, or very early carcinoma with micro-invasion. In addition it may be combined with V wedge excision for larger carcinomas. The procedure consists in the excision of the vermilion epithelium with immediate repair of the lip by advancement of a flap of labial mucosa. The functional and cosmetic results of the operation are perfectly acceptable. The incidence of subsequent carcinoma in lips treated this way is very low.

Aged

Applications of the Karapandzic principle of lip reconstruction after excision of lip cancer.

The number and variety of technics available for lip reconstruction has suggested to some authors that no method is ideal. In fact, excellent results can be obtained under proper circumstances by any one of several procedures. The principle of innervated myocutaneous flaps adds yet another tool to the surgeon's armamentarium, but it does not relieve him of the responsibility to select the most appropriate procedure in each case. As Karapandzic has stated (or understated), "This obviously is not a technique suitable for all lip defects, but in selected cases it gives a very satisfactory result."

Carcinoma, Squamous Cell

Lip adhesion and its effect on the maxillofacial complex in complete unilateral clefts of the lip and palate.

The use of a lip adhesion as part of the treatment program for wide complete clefts of the lip and palate is gradually being accepted. Heretofore, little mention has been made as to its actual beneficial effects. Since the introduction of this procedure by our Group in 1966, it has been used routinely by us. Its effects on the maxillofacial complex is discussed in detail.

Age Factors

[Association of ectodermal dysplasia, cleft of the lip palate and "scrubbing-brush hair". Its situation in "D. E. F. syndromes" (ectodermal dysplasia, cleft of the lip and/or palate (author's transl)].

The "D. E. F.-syndromes" consist of ectodermal dysplasia, cleft of the lip and/or palate (fente labiale et/ou palatine). This group includes the A. E. C.- and the E. E. C.-syndromes. We are reporting two cases of D. E. F.-syndrome, in which there was a very particular hair dysplasia, which we named "scrubbing-brush hair". The first case was a boy. The disease was probably transmitted on the dominant autosomal mode. The ectodermal dysplasia was of hypohidrotic type. The second case was also observed in a boy. There was no similar genetic abnormality in the family. The ectodermal dysplasia was of hidrotic types. The embryological findings account for the association between the ectodermal dysplasia and the medial dysraphia of the face.

Abnormalities, Multiple