Analysis of the lengthening effect of the muscle repair in functional cleft lip repair.

Abstract:

:In 14 patients undergoing functional cleft lip repair, changes in the lengths of the key lip segments were measured preoperatively, after the muscle layer was repaired, and after the skin was repaired using pieces of wire bent to follow the curves of the lip in three dimensions. The cleft side of the lip was shorter than the normal side in the vertical and horizontal dimensions. Freeing the muscle from its dermal insertions, splitting it, and advancing it into the medial side of the cleft lengthened the cleft side of the lip vertically and horizontally. The Z-plasty skin repair further lengthened the cleft side of the lip in the vertical dimension. The lengthening effect of the muscle repair appears to be the result of the loose skin redraping over the dissected muscle and further explains elimination of the orbicularis bulge and superior scar formation in the functional cleft lip repair.

journal_name

Plast Reconstr Surg

authors

Dado DV

doi

10.1097/00006534-198810000-00006

subject

Has Abstract

pub_date

1988-10-01 00:00:00

pages

594-601

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

82

pub_type

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