A classification and construction of congenital lateral facial clefts
dc.contributor.author | Butow, Kurt-Wilhelm | |
dc.contributor.author | Botha, Andrew | |
dc.date.accessioned | 2010-06-04T11:47:56Z | |
dc.date.available | 2010-06-04T11:47:56Z | |
dc.date.issued | 2010 | |
dc.description.abstract | BACKGROUND: The repair of the lateral or transverse facial cleft is a surgical challenge on the account of the abnormal positioning and appearance of the cleft. MATERIALS AND METHODS: Over a twenty-seven year period, 22 lateral facial cleft cases were evaluated at a cleft lip (CL) and palate clinic and seven children underwent reconstruction of the lateral CL. RESULTS: Twenty-two of 3187 (0.69%) cases presented with a lateral CL. Five of these 22 cases (23%) had a bilateral, eight (36%) had a right-sided and nine (41%) had a left-sided cleft. The evaluation of these cases resulted in a new classification (namely an extension of the Tessier 7 cleft) classification for the cutaneous and muscle involvement: a superior (T7.1), middle (T7.2), inferior (T7.3) and agenetic (T7.4) lateral CL. The altered surgical construction: an internal mucosal straight-line closure, a curved cutaneousemucosal red-lip/vermilion-lined flap for the lip commissure, muscle reconstruction at the modiolus and a positional cutaneous z-plasty for the rare lateral cutaneous cleft. CONCLUSION: The paper introduced a new classification for the lateral CL, as well as an altered surgical reconstructive technique for the most natural functioning of the lateral part of the face. | en_US |
dc.identifier.citation | Butow K-W, Botha A A classification and construction of congenital lateral facial clefts, J Craniomaxillofac Surg (2010), doi:10.1016/j.jcms.2010.02.007 | en_US |
dc.identifier.issn | 1010-5182 | |
dc.identifier.other | 10.1016/j.jcms.2010.02.007 | |
dc.identifier.uri | http://hdl.handle.net/2263/14212 | |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | Elsevier | en_US |
dc.subject | Lateral facial cleft | en_US |
dc.subject | Transverse facial cleft | en_US |
dc.subject | Tessier 7 cleft | en_US |
dc.subject | Classification | en_US |
dc.subject | Surgical reconstruction | en_US |
dc.subject | Repair | en_US |
dc.title | A classification and construction of congenital lateral facial clefts | en_US |
dc.type | Postprint Article | en_US |