Primary unilateral cleft lip repair
The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2009-10-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699378 |
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| author | H. S. Adenwalla P. V. Narayanan |
| author_facet | H. S. Adenwalla P. V. Narayanan |
| author_sort | H. S. Adenwalla |
| collection | DOAJ |
| description | The unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protocol to produce a notch-free vermillion. This is easy to follow even for trainees. We also perform closed alar dissection and extensive primary septoplasty in all these patients. This has improved the overall result and has no long-term deleterious effect on the growth of the nose or of the maxilla. Other refinements have been used for prevention of a high-riding nostril, and correction of the vestibular web. |
| format | Article |
| id | doaj-art-ba55f7c5e47e4f9db0855a2ea847a187 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2009-10-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-ba55f7c5e47e4f9db0855a2ea847a1872025-08-20T03:23:12ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2009-10-0142S62S7010.1055/s-0039-1699378Primary unilateral cleft lip repairH. S. Adenwalla0P. V. Narayanan1Department of Plastic Surgery, Burns, Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College & Research Institute, Trichur-680 005, Kerala, IndiaDepartment of Plastic Surgery, Burns, Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College & Research Institute, Trichur-680 005, Kerala, IndiaThe unilateral cleft lip is a complex deformity. Surgical correction has evolved from a straight repair through triangular and quadrilateral repairs to the Rotation Advancement Technique of Millard. The latter is the technique followed at our centre for all unilateral cleft lip patients. We operate on these at five to six months of age, do not use pre-surgical orthodontics, and follow a protocol to produce a notch-free vermillion. This is easy to follow even for trainees. We also perform closed alar dissection and extensive primary septoplasty in all these patients. This has improved the overall result and has no long-term deleterious effect on the growth of the nose or of the maxilla. Other refinements have been used for prevention of a high-riding nostril, and correction of the vestibular web.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699378closed alar dissectionnotch-free vermillionprimary septoplastyunilateral cleft lip |
| spellingShingle | H. S. Adenwalla P. V. Narayanan Primary unilateral cleft lip repair Indian Journal of Plastic Surgery closed alar dissection notch-free vermillion primary septoplasty unilateral cleft lip |
| title | Primary unilateral cleft lip repair |
| title_full | Primary unilateral cleft lip repair |
| title_fullStr | Primary unilateral cleft lip repair |
| title_full_unstemmed | Primary unilateral cleft lip repair |
| title_short | Primary unilateral cleft lip repair |
| title_sort | primary unilateral cleft lip repair |
| topic | closed alar dissection notch-free vermillion primary septoplasty unilateral cleft lip |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699378 |
| work_keys_str_mv | AT hsadenwalla primaryunilateralcleftliprepair AT pvnarayanan primaryunilateralcleftliprepair |