The Essential Anatomical Subunit Approximation Unilateral Cleft Lip Repair.

Abstract:

:The anatomical subunit approximation cleft lip repair advantageously achieves a balanced lip contour, with the line of repair hidden along seams of aesthetic subunits. Dr. David Fisher's original description of the repair reflects the considerable thought that went into the evolution of his design. As his technique has gained acceptance in the intervening 10 years, the authors note several key principles embodied in it that represent a shift in the cleft lip repair paradigm. The authors believe understanding these principles is important to mastery of the anatomical subunit technique, and facilitate its teaching. First, design a plan that adheres to anatomical subunits and perform measurements precisely. Second, identify and adequately release each cleft tissue layer from the lip and nose to enable restoration of balance. Third, drive surgical approximation through inset of the lateral muscle into the superiorly backcut medial orbicularis muscle, followed by skin closure with inferior triangle interposition above the white roll. In this article, the authors present essential components of the technique, and identify several principles that enable its successful execution.

journal_name

Plast Reconstr Surg

authors

Chong DK,Swanson JW

doi

10.1097/PRS.0000000000002257

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

91e-94e

issue

1

eissn

0032-1052

issn

1529-4242

pii

00006534-201607000-00031

journal_volume

138

pub_type

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