Philtrum reconstruction in unilateral cleft lip repair

Show simple item record Naidoo, Sharan Butow, Kurt-Wilhelm 2020-04-27T07:49:26Z 2019-06
dc.description.abstract The philtrum is an important aesthetic structure in the midface. A number of philtrum reconstruction techniques have been advocated for secondary cleft lip revision procedures. Conventional surgical management involves end-to-end orbicularis oris muscle approximation during primary cleft lip repair, often resulting in a flat lip appearance that requires secondary revision surgery at a later stage. A novel modification of the approximation of the orbicularis oris muscle is described that may be implemented with any cleft lip technique in order to create an accentuated philtrum column for a natural looking philtrum. The muscle roll technique results in eversion of the orbicularis oris muscle, successfully recapturing the philtrum column topography. This is achieved by utilizing two inverted horizontal sutures, with an additional philtrum takedown suture placed in the region of the dimple to accentuate the philtrum anatomy and three-dimensional profile. This novel technique in unilateral cleft lip repair addresses philtrum architecture during primary surgery, which may reduce the requirement for secondary surgical intervention. Its application may be particularly suitable in outreach programmes where postoperative follow-up may be compromised. en_ZA
dc.description.department Maxillo-Facial and Oral Surgery en_ZA
dc.description.embargo 2020-06-01
dc.description.librarian hj2020 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Naidoo, S. & Bütow, K.-W. 2019, 'Philtrum reconstruction in unilateral cleft lip repair', International Journal of Oral and Maxillofacial Surgery, vol. 48, no. 6, pp. 716-719. en_ZA
dc.identifier.issn 1878-1241 (print)
dc.identifier.issn 1878-1292 (online)
dc.identifier.other 10.1016/j.ijom.2018.11.003
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2018 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in International Journal of Oral and Maxillofacial Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in International Journal of Oral and Maxillofacial Surgery, vol. 48, no. 6, pp. 716-719, 2019. doi : 10.1016/j.ijom.2018.11.003. en_ZA
dc.subject Cleft lip repair en_ZA
dc.subject Cleft lip en_ZA
dc.subject Primary cleft reconstruction en_ZA
dc.subject Unilateral cleft lip en_ZA
dc.title Philtrum reconstruction in unilateral cleft lip repair en_ZA
dc.type Postprint Article en_ZA

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