Unilateral Cleft Lip Revision with Conversion to the Modified Inferior Triangle.

Abstract:

BACKGROUND:Unilateral cleft lip revision may be necessary to address visible scars, unequal anatomical boundaries, vermillion inequities, or some combination thereof. In the setting of more than one stigma, a complete recreation of the defect and repair is necessary. This study anthropometrically evaluates the results of cleft lip revision following conversion to the modified inferior triangle. METHODS:A retrospective analysis of patients who underwent cleft lip revision using the modified inferior triangle was included. Standard preoperative and postoperative photographs were obtained and evaluated. Anthropometric points were placed and measurements performed. Results were corroborated by two independent, blinded reviewers (Pearson correlation test), and compared using the paired t test. RESULTS:Twenty-seven patients were included (mean age, 10.89 years; female, n = 10) over a 35-month period. Intraobserver and interobserver ratios were shown to be reliable. Significant differences (p < 0.05) were seen in the philtrum column height (PCH), hemilabial length (HL), and hemilabial length' (HL') preoperatively. No significant differences (p > 0.05) were noted in the PCH, HL, and HL' postoperatively. Significant changes (p < 0.05) between ΔPCH, ΔHL, and ΔHL' of cleft side and ΔPCH, ΔHL, and ΔHL' of noncleft side were found. Philtral height showed significant changes (p < 0.05) after conversion to the modified inferior triangle. Significant changes (p < 0.05) were found in the philtrum column width and mouth width. CONCLUSION:Cleft lip revision is effectively performed using the modified inferior triangle repair, improving the lip appearance with improved anthropometric measures. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, IV.

journal_name

Plast Reconstr Surg

authors

Li W,Steinbacher DM

doi

10.1097/PRS.0000000000001560

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

353e-361e

issue

3

eissn

0032-1052

issn

1529-4242

pii

00006534-201509000-00021

journal_volume

136

pub_type

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