Modified bilateral cleft lip repair with orbicularis reconstruction and prolabial self-elongation.

摘要

PURPOSE: This article describes the details of a modified method for bilateral cleft lip repair and presents some examples of patients whose condition was repaired by this technique. PATIENTS AND METHODS: Sixty-five patients ranging in age from 2 to 5 years were treated with this modified procedure. The method was characterized by prolabial lengthening and reconstruction of the orbicularis oris muscle in one stage. RESULTS: Satisfactory results were achieved with this method. The Cupid's bow and the central tubercle appeared more natural. None of the patients developed dehiscence of the wound. CONCLUSIONS: This modified procedure is of special value for complete bilateral cleft lip patients with a short prolabium. The long-term effect of muscle reconstruction on maxillary growth remains to be evaluated.