Surgical correction of cleft lip lower-lip deformity: a report of three cases
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Cleft lip lower-lip deformity is a secondary deformity in patients who underwent primary cheiloplasty of the upper lip, characterized by an enlarged and anteriorly rotated lower lip. In these cases, soft-tissue imbalances remain even after skeletal correction with orthognathic surgery, and additional soft tissue treatment is required for lip harmony and esthetic facial balance in CLP (cleft lip palate) patients. This study describes three cases of trans-verse myomucosal excision of the lower lip for correction of cleft lip lower-lip deformity to restore facial esthetic balance. Each patient underwent orthognathic surgery, rhinoplasty, or upper lip revision cheiloplasty according to condition. Postoperatively, volume of the lower lip decreased and lip harmony was improved in all three patients. The surgeon should fully understand the anatomical structure around the lips and be able to evaluate over-all harmony of the soft tissue. When a lower lip deformity is present, careful surgical planning and execution are important for each patient.
Abstract
Cleft lip lower-lip deformity is a secondary deformity in patients who underwent primary cheiloplasty of the upper lip, characterized by an enlarged and anteriorly rotated lower lip. In these cases, soft-tissue imbalances remain even after skeletal correction with orthognathic surgery, and additional soft tissue treatment is required for lip harmony and esthetic facial balance in CLP (cleft lip palate) patients. This study describes three cases of trans-verse myomucosal excision of the lower lip for correction of cleft lip lower-lip deformity to restore facial esthetic balance. Each patient underwent orthognathic surgery, rhinoplasty, or upper lip revision cheiloplasty according to condition. Postoperatively, volume of the lower lip decreased and lip harmony was improved in all three patients. The surgeon should fully understand the anatomical structure around the lips and be able to evaluate over-all harmony of the soft tissue. When a lower lip deformity is present, careful surgical planning and execution are important for each patient.
참고문헌 (17)
- Park JS, "Lower lip deformity in patients with cleft and non-cleft class III malocclusion before and after orthognathic surgery", J Craniomaxillofac Surg, 43, pp.1638~1642 (2015)[DOI]
- Yilmaz H, "Current treatment of cleft lip and palate", pp.63~82 (2020), IntechOpen
- Smahel Z, "Configuration of facial profile in adults with cleft lip with or without cleft palate", Acta Chir Plast, 34, pp.190~203 (1992)
- Semb G, "The Eurocleft study: intercenter study of treatment outcome in patients with complete cleft lip and palate. Part 4:relationship among treatment outcome, patient", parent satisfaction, and the burden of care, 2005, pp.42, 83~92
- Ferrari Júnior FM, "Esthetic evaluation of the facial profile in rehabilitated adults with complete bilateral cleft lip and palate", J Oral Maxillofac Surg, 73, pp.169.e1~169.e6 (2015)[DOI]
- Pensler JM, "The cleft lip lower-lip deformity", Plast Reconstr Surg, 82, pp.602~610 (1988)[DOI]
- Brown JB, "Secondary repair of cleft lips and their nasal deformities", Ann Surg, 114, pp.101~117 (1941)[DOI]
- Langeveld M, "Etiology of cleft lip lower lip deformity : use of an objective analysis to measure severity", Cleft Palate Craniofac J, 56, pp.1333~1339 (2019)[DOI]
- Zhu NW, "Lip posture and mouth width in children with unilateral cleft lip", Br J Plast Surg, 47, pp.301~305 (1994)[DOI]
- Duffy S, "Three-dimensional analysis of the child cleft face", Cleft Palate Craniofac J, 37, pp.137~144 (2000)[DOI]
- Oyama T, "One-stage vermilion switch flap procedure for the correction of thin lips in patients with bilateral cleft lips", J Plast Reconstr Aesthet Surg, 63, pp.e248~e252 (2010)[DOI]
- Kawamoto HK Jr, "Correction of major defects of the vermilion with a cross-lip vermilion flap", Plast Reconstr Surg, 64, pp.315~318 (1979)[DOI]
- Wintsch K, "Contour correction of the vermilion of the upper lip by island flap of the lower lip", Plast Reconstr Surg, 86, pp.768~772 (1990)[DOI]
- Chung KH, "A new method for reconstruction of vermilion deficiency in cleft lip deformity : the bi-winged myomucosa switch flap", Plast Reconstr Surg, 140, pp.1251~1255 (2017)[DOI]
- Ohtsuka H, "One-stage lip-switch operation", Plast Reconstr Surg, 76, pp.613~615 (1985)[DOI]
- Niamtu J 3rd, "Lip reduction surgery(reduction cheiloplasty)", Facial Plast Surg Clin North Am, 18, pp.79~97 (2010)[DOI]
- Anvar BA, "Lip reconstruction", Plast Reconstr Surg, 120, pp.57e~64e (2007)[DOI]