A classification and construction of congenital lateral facial clefts

dc.contributor.authorButow, Kurt-Wilhelm
dc.contributor.authorBotha, Andrew
dc.date.accessioned2010-06-04T11:47:56Z
dc.date.available2010-06-04T11:47:56Z
dc.date.issued2010
dc.description.abstractBACKGROUND: 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.citationButow K-W, Botha A A classification and construction of congenital lateral facial clefts, J Craniomaxillofac Surg (2010), doi:10.1016/j.jcms.2010.02.007en_US
dc.identifier.issn1010-5182
dc.identifier.other10.1016/j.jcms.2010.02.007
dc.identifier.urihttp://hdl.handle.net/2263/14212
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.rightsElsevieren_US
dc.subjectLateral facial cleften_US
dc.subjectTransverse facial cleften_US
dc.subjectTessier 7 cleften_US
dc.subjectClassificationen_US
dc.subjectSurgical reconstructionen_US
dc.subjectRepairen_US
dc.titleA classification and construction of congenital lateral facial cleftsen_US
dc.typePostprint Articleen_US

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