Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction
Background:. This article describes the first author’s hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques. Methods:. Key differentiating technical surgical pearls are delineated, including drawings and video content. R...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2025-06-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006795 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850111429852528640 |
|---|---|
| author | John G. Meara, MD, DMD, MBA Kerry A. Morrison, MD |
| author_facet | John G. Meara, MD, DMD, MBA Kerry A. Morrison, MD |
| author_sort | John G. Meara, MD, DMD, MBA |
| collection | DOAJ |
| description | Background:. This article describes the first author’s hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques.
Methods:. Key differentiating technical surgical pearls are delineated, including drawings and video content.
Results:. The first author incorporates 2 triangular skin flaps from the lateral lip into releasing incisions in the medial lip element. Furthermore, this technique obviates the need for a columellar back-cut or a C-flap, as both create a scar that distorts the natural columellar-labial junction and the appearance of the footplate region. Instead, the technique described here creates a natural skin “apron” that flows from the columella over the footplate region laterally on both sides and smoothly and gradually onto the philtrum in the midline.
Conclusions:. The first author highlights 8 surgical principles for symmetrical correction. |
| format | Article |
| id | doaj-art-41c38d93a99c48ba943219a092f4f566 |
| institution | OA Journals |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-41c38d93a99c48ba943219a092f4f5662025-08-20T02:37:37ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-06-01136e679510.1097/GOX.0000000000006795202506000-00021Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical CorrectionJohn G. Meara, MD, DMD, MBA0Kerry A. Morrison, MD1From the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, MAFrom the * Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, MABackground:. This article describes the first author’s hybrid approach to unilateral cleft lip and nasal deformity repair, which has evolved from the Skoog, Millard, and Fisher techniques. Methods:. Key differentiating technical surgical pearls are delineated, including drawings and video content. Results:. The first author incorporates 2 triangular skin flaps from the lateral lip into releasing incisions in the medial lip element. Furthermore, this technique obviates the need for a columellar back-cut or a C-flap, as both create a scar that distorts the natural columellar-labial junction and the appearance of the footplate region. Instead, the technique described here creates a natural skin “apron” that flows from the columella over the footplate region laterally on both sides and smoothly and gradually onto the philtrum in the midline. Conclusions:. The first author highlights 8 surgical principles for symmetrical correction.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006795 |
| spellingShingle | John G. Meara, MD, DMD, MBA Kerry A. Morrison, MD Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction Plastic and Reconstructive Surgery, Global Open |
| title | Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction |
| title_full | Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction |
| title_fullStr | Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction |
| title_full_unstemmed | Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction |
| title_short | Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction |
| title_sort | unilateral cleft lip and nasal deformity 8 principles for symmetrical correction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006795 |
| work_keys_str_mv | AT johngmearamddmdmba unilateralcleftlipandnasaldeformity8principlesforsymmetricalcorrection AT kerryamorrisonmd unilateralcleftlipandnasaldeformity8principlesforsymmetricalcorrection |